425802105-4-13-2022-29-AS-KBUY-CDGVM7-20220414163305

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425802105
Report Date: 04/13/2022
Date Signed: 04/13/2022 02:04:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/25/2020 and conducted by Evaluator Toan Luong

COMPLAINT CONTROL NUMBER: 29-AS-20200625143305

FACILITY NAME:	PEOPLE'S CARE LAKE MARIE		FACILITY NUMBER:	425802105
ADMINISTRATOR:	CHARLOTTE ACOSTA HILL		FACILITY TYPE:	735
ADDRESS:	2186 LAKE MARIE DR		TELEPHONE:	(805) 934-0220
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	4	CENSUS: 2	DATE:	04/13/2022
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Maria Drummond		TIME COMPLETED:	11:05 AM

ALLEGATION(S):

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Staff sexually abused client while in care

INVESTIGATION FINDINGS:

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On 4/13/22 at 10:20 a.m., Licensing Program Analyst (LPA) Toan Luong conducted subsequent complaint visit to the facility to deliver final findings. LPA met with Interim Administrator Maria Drummond and explained the purpose of the visit.

On the allegation: Staff sexually abused client while in care. It was alleged that on 6/16/2020 at approximately 11:45 p.m. staff sexually abused Client #1 (C1) in care after the reporting party (RP) turned on an Amazon Echo device to listen to C1 in C1’s room. It was reported from the RP that a television was on and was loud. RP reported hearing loud breathing from C1. From 3/11/22 through 4/12/22, LPA conducted interviews with staff and clients. Interviews reveals that two staff were present on the evening of 6/16/2020 for the overnight shift. The RP had contacted the facility at 11:47 p.m. on 6/16/2020 and spoke to Staff #5 (S5) to inquire the status of C1. S5 reported to the RP the current whereabout of S5 cleaning one side of the facility, C1 being in C1’s room, and Staff #6 (S6) cleaning the other side of the facility.
(Continued on 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Toan Luong
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20200625143305

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: PEOPLE'S CARE LAKE MARIE	FACILITY NUMBER: 425802105
	VISIT DATE: 04/13/2022

NARRATIVE

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RP suspected that S6 was sexually abusing C1. S6 has a unisex name, and RP assumed S6 was a male but S6 was a female. S5 provided the phone to S6 to speak to the RP. RP did not believe that the person on the line was S6. RP also reported the incident to the sheriffs. LPA reviewed email correspondence from Tri-Counties Regional Center Quality Assurance Specialist (TCRCQA) Figueroa and LPA Jeffries. TCRCQA spoke to Deputy Peters from the Santa Barbara County Sheriff’s office on the evening of 6/22/2020 and reported that Deputy Peters said, “are not anticipating sending the complaint to the DA’s office as there was no proof of criminal activity other than RP’s suspicion someone was in C1’s room at the time of the Echo “drop in.””
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated.

Exit interview conducted and this report was emailed to the facility administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Toan Luong
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2022

LIC9099 (FAS) - (06/04)

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