565801393-2-7-2024-29-AS-DPEA-D2URLF-20240227120705

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801393
Report Date: 02/07/2024
Date Signed: 02/07/2024 01:32:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 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
08/23/2022 and conducted by Evaluator Esther Cortez

COMPLAINT CONTROL NUMBER: 29-AS-20220823133614

FACILITY NAME:	GONZALES FAMILY HOME		FACILITY NUMBER:	565801393
ADMINISTRATOR:	VENIE G. GONZALES		FACILITY TYPE:	735
ADDRESS:	4450 BROWNING DRIVE		TELEPHONE:	(805) 488-2315
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	6	CENSUS: 5	DATE:	02/07/2024
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Venie G. Gonzalez		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Client was sexually abused by another client in the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint inspection to deliver the findings for the above allegation. The LPA met with Administrator Venie G. Gonzalez and explained the reason for the inspection.

The allegation alleges Client #1 (C1) was sexually abused by Client #2 (C2) and Client #3 (C3) while in the facility. The allegation further alleges that C2 and C3 have repeatedly touched C1 and asked for sexual contact.

On 08/24/2022, LPA Kelly Dulek initiated the investigation. During the visit, LPA Dulek conducted a physical plant tour with the Licensee Venie Gonzales at 2:10 p.m., interviewed the Licensee and requested pertinent records.
Report will continue on LIC9099-C (2nd page).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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-20220823133614

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: GONZALES FAMILY HOME	FACILITY NUMBER: 565801393
	VISIT DATE: 02/07/2024

NARRATIVE

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On 11/17/2022, LPA KaSandra Lopez conducted a subsequent inspection at the facility and conducted an interview with C2. No immediate health or safety concerns were observed during the inspection. On 12/06/2022 during a subsequent visit, LPA Lopez conducted an interview with C1 at 3:37 p.m. On 02/02/2023 LPA Lopez conducted interviews with two (2) additional staff members. Interviews with C1, C2 and two (2) facility staff were also conducted on 05/12/2023, 06/26/2023 and 07/13/2023 during related complaint investigations (CC#29-AS-20220317170723, CC#29-AS-20230511091829 and CC#29-AS-20230622110504). Additionally, the complaint received on 05/11/2023 (CC#29-AS-20230511091829), was referred to Community Care Licensing Divisions Investigations Branch (IB) and assigned to Investigator Laura Garcia. Moreover, LPA Lopez attempted to conduct an interview with C3 however, was unable to due to C3 being non-verbal and inability to communicate.

On 06/12/2023, from approximately 10:30 a.m. to 1:00 p.m., Investigator Garcia conducted interviews with the Tri-Counties Regional Center (TCRC) Services Coordinator (SC), facility Administrator and C1’s Conservator; on 06/14/2023, at approximately 10:30 a.m., with TCRC Quality Assurance Specialist (QAS); on 08/08/2023, from approximately 12:00 p.m. to 1:30 p.m., with staff and C2. In addition, Investigator Garcia reviewed facility file documents relevant to the complaint. A request for police reports was made to the Oxnard Police Department (PD), however no reports were found on file. A sequential interview with C1 was not recommended by C1’s conservator and TCRC due to C1’s possibility of mental confusion and continued attention-seeking behaviors.

According to the TCRC Individual Program Plan (IPP), dated 12/27/2018, C1 has an extensive history of sexually inappropriate behaviors. C1 was referred for an Applied Behavioral Analysis (ABA) from SAGE services to address sexually inappropriate behaviors, physical aggression, property destruction and elopement. C1 is deaf and uses American Sign Language (ASL) for communicating. C1 is diagnosed with mood disorder, unspecified psychosis, and epilepsy. The assessment, dated 12/14/2021, further stated previous concerns of C1’s history of lying and fabricating stories. Additionally, caregivers also previously reported concerns of C1’s wandering from the home, sexually inappropriate behaviors, aggression, and frequent hospital check-ins which appear to have an attention seeking function.

Report will continue on LIC9099-C (3rd page).

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20220823133614

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: GONZALES FAMILY HOME	FACILITY NUMBER: 565801393
	VISIT DATE: 02/07/2024

NARRATIVE

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Information obtained from Investigator Garcia’s interviews confirmed that C1 has an extensive history of sexually inappropriate behaviors and tends to falsely accuse others of C1’s inappropriate actions. Multiple allegations were previously made by C1, that were similar in nature and investigated by CCL IB and Oxnard PD. Due to contradictory and inaccurate statements, the allegations were deemed to be unsubstantiated or unfounded. Per C1’s conservator, they have knowledge of C1’s previous sexual abuse allegations that were deemed to be false and had no concerns regarding the facility’s level of care and supervision offered to the clients. Facility staff confirmed that there is constant supervision and clients are never left unattended.

Interviews conducted with staff by LPA Lopez during the course of the investigation revealed no observation of C2 and C3 acting inappropriately or engaging in sexual activities with C1 or C2 and C3 going into C1’a bedroom. Interviews with C2 also revealed they denied ever going into C1’s room or acting inappropriately with C1. During the physical plant tour, LPA Lopez observed an auditory alarm on C1’s door which alerts staff if someone enters or exits C1’s room.

Based on the information and documentation provided, the Department does not have sufficient evidence to support the allegation. Therefore, the allegation “Neglect/Lack of Care leading to Sexual Abuse” is deemed Unsubstantiated at this time.

Exit interview, copy of report given.

SUPERVISORS NAME: Kasandra Lopez
LICENSING EVALUATOR NAME: Esther Cortez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

LIC9099 (FAS) - (06/04)

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