565801788-10-18-2021-29-AS-JAPL-C82MV3-20211022095600

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801788
Report Date: 10/18/2021
Date Signed: 10/18/2021 02:32:09 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
08/04/2021 and conducted by Evaluator Ashley Smith

COMPLAINT CONTROL NUMBER: 29-AS-20210804155425

FACILITY NAME:	A BRADLEY HOUSE II		FACILITY NUMBER:	565801788
ADMINISTRATOR:	CHARISSE BRADLEY		FACILITY TYPE:	740
ADDRESS:	805 ERRINGER ROAD		TELEPHONE:	(805) 404-6516
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	6	CENSUS: 6	DATE:	10/18/2021
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Charisse Bradley		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Staff sexually abused resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ashley Smith initiated a subsequent complaint visit to issue findings for the above allegation. The LPA spoke with Administrator Charisse Bradley over the phone and issued the findings.

On 08/04/2021, the Department received a complaint which alleged that staff sexually abused Resident #1 (R1). Community Care Licensing Division’s Investigations Branch (IB) Investigator Edward Hector was assigned to the case. On 08/06/2021 at 10:25 a.m., the LPA conducted the initial visit, interviewed staff at 10:53 a.m., and 11:18 a.m., reviewed documents, and completed a physical plant tour at 10:30 a.m. Investigator Hector reviewed police and medical records and conducted the following interviews: interviewed a responsible party for R1 on 08/10/2021 at 5:47 p.m; interviewed R1 on 08/11/2021 at 11:45 a.m. and on 08/18/2021 at 11:10 a.m.; interviewed staff on 08/18/2021 at 12:13 p.m., 12:28 p.m., 1:23 p.m., 2:15 p.m., 2:30 p.m.; interviewed residents on 08/18/2021 at 2:12 p.m. and 2:44 p.m.; and interviewed a collateral agency representative on 09/30/2021 at 9:57 a.m.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jeralyn Ann Pfannenstiel
LICENSING EVALUATOR NAME: Ashley Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021

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-20210804155425

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: A BRADLEY HOUSE II	FACILITY NUMBER: 565801788
	VISIT DATE: 10/18/2021

NARRATIVE

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Regarding the allegation, it was alleged that staff, potentially Staff #1 (S1), sexually abused R1. A review of records, including medical and facility records, determined that R1 was admitted to the facility from 07/23/2021 through 08/02/2021. Medical records noted that R1 was hospitalized prior to being admitted to this facility on 07/12/2021 and hospital notes reflected that R1 was experiencing hallucinations at that time. Additional medical records noted that on 07/28/2021 and 07/27/2021, R1 was noted as having severe hallucinations and slurred speech, and staff were instructed to call 911 if the concerns persisted. Staff interviews and video evidence confirmed that on 08/2/2021, R1 had several occurrences of severe hallucinations throughout that morning, was screaming for help, claimed that people were ‘coming to kill them and the children’, and appeared to be in great distress. R1 was subsequently hospitalized and did not return to the facility.

Staff #1 (S1) and Staff #2 (S2) consistently work at the facility and confirmed that R1 had bouts of hallucinogenic episodes throughout their short time of being in the facility. Whereas S1 was alleged as the individual whom sexually abused R1, R1 alleged that it happened at night on an ‘unknown date’. Staff claimed that R1 had only gotten up once in the middle of the night during their short stay at the facility, and both S1 and S2 assisted with refreshing R1. S2 also noted that S1 did not assist with changing R1 alone. R1 did not disclose abuse of any nature during the multiple interview attempts. R1’s responsible party also confirmed that R1 experienced hallucinations and noted that R1 did not disclose that they were abused by S1 or any staff in this facility. Staff and resident interviews denied claims that they had been treated poorly, noted that they felt safe in the facility, and S1 denied all abuse allegations. Lastly, a medical exam did not note any abrasions, bruising, dried blood, or discharge. Thus, there was insufficient evidence to confirm that sexual abuse had occurred.

Based on the investigation, there is insufficient evidence to support the claim that R1 was sexually abused by staff in this home. This allegation is deemed Unsubstantiated at this time.

No deficiencies cited. Exit interview conducted. A copy of the report was issued. Ms. Bradley authorized staff to sign the report.

SUPERVISORS NAME: Jeralyn Ann Pfannenstiel
LICENSING EVALUATOR NAME: Ashley Smith
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021

LIC9099 (FAS) - (06/04)

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