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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604294
Report Date: 04/15/2021
Date Signed: 04/15/2021 11:30:25 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/18/2020 and conducted by Evaluator Adam Hamer
COMPLAINT CONTROL NUMBER: 08-AS-20200518110655
FACILITY NAME:LAS VILLAS DEL NORTEFACILITY NUMBER:
374604294
ADMINISTRATOR:FARISH, JOLENEFACILITY TYPE:
740
ADDRESS:1325 LAS VILLAS WAYTELEPHONE:
(760) 741-1047
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY:198CENSUS: 166DATE:
04/15/2021
UNANNOUNCEDTIME BEGAN:
11:03 AM
MET WITH:Jolene Farish, AdministratorTIME COMPLETED:
11:11 AM
ALLEGATION(S):
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Resident was sexually abused while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Adam Hamer conducted an unannounced complaint investigation tele-visit via FaceTime due to COVID-19. LPA gained access to the facility, identified himself, spoke with Administrator Jolene Farish and discussed the purpose of the visit, which was to deliver the finding for the above allegation.

The Department’s investigation included interviews with staff, resident and outside sources. Facility, medical and law enforcement records were also obtained by the Department and reviewed for pertinent evidence.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Adam HamerTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20200518110655
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LAS VILLAS DEL NORTE
FACILITY NUMBER: 374604294
VISIT DATE: 04/15/2021
NARRATIVE
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The Department received a complaint on May 18, 2020 alleging that a resident (R1) (See LIC 811 Confidential Names List) was sexually abused while in care by an unknown staff. Interviews with staff and outside sources and a records review revealed that R1 reported to a caregiver and to other individuals that they were raped by a Norwegian or Hungarian male caregiver during a diaper change, and that R1 walked to the bathroom to clean up afterwards. R1 gave a description of the individual’s appearance and of how he spoke with a European or a British accent. At the time R1 reported this to a caregiver, the caregiver noticed that R1 was confused and agitated. R1 also gave other statements that were inconsistent as to when and how the incident had happened, and of saving evidence of the rape and also of throwing the evidence away. Interviews and records review revealed that R1 is unable to walk by themselves without assistance and that there was no staff working at the facility who fit the description that R1 gave for the individual who allegedly committed the sexual abuse.

During the Department’s interview with R1, they did not disclose any sexual abuse. The Department’s interview with outside source law enforcement and records review revealed that during their interview with R1, R1 lacked orientation as to person, place and time, and they could not prove that a crime occurred since there was no physical evidence, no witnesses and no suspect could be identified. An interview with outside source professional revealed that R1’s health had deteriorated quickly over the past year and that R1 had become increasingly confused. Outside source interviews and records review also revealed that R1 had a visual impairment, was on hospice and memory care, and has a history of a medical condition that causes R1 to hallucinate and become disoriented. R1 was determined to have had this condition during this incident.

Based on the evidence obtained from the complaint investigation, the allegation that R1 was sexually abused while in care is found to be UNSUBSTANTIATED, as there is not a preponderance of the evidence to prove that the allegation occurred. An exit interview was conducted with Ms. Farish via FaceTime, and a copy of this report, LIC 811 and Licensee's Appeal Rights (LIC 9058 01/16) were emailed to her; an email read receipt confirms receipt of these documents.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Adam HamerTELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2