565802410-6-15-2023-29-AS-DPEA-CT7SBN-20230627134414

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802410
Report Date: 06/15/2023
Date Signed: 06/15/2023 09:52:37 AM

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
12/12/2022 and conducted by Evaluator Martha Arroyo

COMPLAINT CONTROL NUMBER: 29-AS-20221212103349

FACILITY NAME:	PEOPLE'S CARE GOODENOUGH		FACILITY NUMBER:	565802410
ADMINISTRATOR:	TANYA KRAMER		FACILITY TYPE:	735
ADDRESS:	2591 GOODENOUGH RD		TELEPHONE:	(805) 524-5617
CITY:	FILLMORE	STATE: CA	ZIP CODE:	93015
CAPACITY:	6	CENSUS: 6	DATE:	06/15/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Daniela Mosquera		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Staff sexually assaulted client.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent visit to the facility to issue findings for the above allegation. The initial visit was conducted on 12/13/2022 and a subsequent visit was conducted on 05/30/2023 by LPA M. Arroyo. On today’s visit, LPA Arroyo met with the Administrator, Daniela Mosquera and the reason for the visit was explained. Entrance interview.

During the initial visit on 12/13/2022, LPA Arroyo conducted interviews with the Administrator and two staff between 10:02 a.m. and 10:55 a.m. and conducted a record review at 11:00 a.m. and obtained copies of client records. On 05/30/2023, LPA Arroyo conducted a tour of the facility to ensure there are no health and safety hazards at 10:05 a.m., conducted interviews with the Administrator, one staff, and four clients between 10:18 a.m. and 11:30 a.m., and conducted a facility file review and obtained copies of pertinent documents at 11:10 a.m.
Report Continued on LIC 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023

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-20221212103349

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 GOODENOUGH	FACILITY NUMBER: 565802410
	VISIT DATE: 06/15/2023

NARRATIVE

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Report Continued from LIC 9099...

It was alleged that staff sexually assaulted client. It was reported that Client #1 (C1) was touched inappropriately by facility staff and the Ventura County Sheriff’s Department (VCSD) was called to investigate. Information gathered during the course of the investigation revealed that very low levels of DNA other than C1’s was found on the swabs used to test C1’s body. Additionally, it was stated that the DNA of another person found on C1’s body was consistent to that of someone who was handling their clothing on laundry day, a person speaking closely, or C1 touching their body after shaking hands with another person. A review of C1’s Physician’s Report (LIC 602A), dated 04/07/2023, lists C1’s diagnoses as intellectual disorder and schizophrenia. Additionally, the LIC 602A identifies C1 as having no problems with being confused and depressed and states C1 is able to follow instructions as well as able to communicate. Interviews conducted with the Administrator revealed they have not had clients express concern or communicate anything regarding sexual abuse since taking over the facility. Interviews with staff revealed C1 is vocal and if something is bothering C1, C1 will not hesitate to let one of the staff know. Interviews conducted with clients revealed that none of the clients have reported any problems or complaints amongst themselves regarding staff. Furthermore, clients stated they have not observed or heard of staff being inappropriate with other clients and displayed no concerns. Based on the information gathered through records reviewed and interviews conducted, there is insufficient evidence to support the allegation, ‘staff sexually assaulted client’ Therefore, this allegation is deemed Unsubstantiated at this time.

Exit interview conducted. No citations issued. A copy of the report was issued to the Administrator.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Martha Arroyo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023

LIC9099 (FAS) - (06/04)

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