415600832-3-21-2022-14-AS-KHOS-CCSM6A-20220323091938

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600832
Report Date: 03/21/2022
Date Signed: 03/21/2022 03:45:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/20/2021 and conducted by Evaluator Jaime Vado

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20211220103815

FACILITY NAME:	JOYFUL CHAPTER		FACILITY NUMBER:	415600832
ADMINISTRATOR:	ROBERT WONG		FACILITY TYPE:	740
ADDRESS:	340 ALTA VISTA DRIVE		TELEPHONE:	(650) 827-5228
CITY:	SOUTH SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY:	49	CENSUS: 30	DATE:	03/21/2022
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Kenneth Lim		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Sexual abuse

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On this day at 1500 hours, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation inspection visit to deliver the findings regarding the allegation recieved. LPA met with administrator Kenneth Lim on this day and explained purpose of today's visit.

During the course of the investigation it was discovered that there was an initial medical finding showing the resident suffering from an inflammation of the lining of the rectum possibly from sexual assault or activity. This was further investigated via medical evaluation and it was determined that this condition was not cause by sexual ssault or activity and the initial medical finding suggesting sexual assault or activity was changed by resident's physician. This allegation is unfounded. There is no evidence of sexual abuse or any fault of the facility.

This agency has investigated the complaint alleging sexual abuse. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint allegation.

No citations issued. Report is reviewed with administrator.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jaime Vado	TELEPHONE: (559) 476-9353
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022

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 3