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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565850269
Report Date: 09/12/2024
Date Signed: 09/12/2024 10:41:45 AM

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
06/17/2024 and conducted by Evaluator Esther Cortez
COMPLAINT CONTROL NUMBER: 29-AS-20240617075107
FACILITY NAME:KINDCARE SENIOR HOMEFACILITY NUMBER:
565850269
ADMINISTRATOR:MARILOU ROJASFACILITY TYPE:
740
ADDRESS:4810 JUSTIN WAYTELEPHONE:
(323) 236-9397
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:6CENSUS: 6DATE:
09/12/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Marilou RojasTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Staff is sexually abusing residents
Staff makes fun of residents
Staff tries to make the residents use the toilet against their will
INVESTIGATION FINDINGS:
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At 10:15 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted a subsequent complaint visit to deliver findings for the above allegations. The LPA met with Administrator Marilou Rojas and explained the reason for the visit.

On 06/17/2024, the Department received a complaint regarding the following allegations, Staff is sexually abusing residents, Staff makes fun of residents, and Staff tries to make the residents use the toilet against their will. The allegation of sexual abuse was referred to Community Care Licensing’s (CCL) Investigations Branch (IB) and Investigator Christine Ferris was assigned to conduct an interview with the Reporting Party (RP).

Report will continue on LIC9099-C (2ND PAGE).
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther CortezTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
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
Control Number 29-AS-20240617075107
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: KINDCARE SENIOR HOME
FACILITY NUMBER: 565850269
VISIT DATE: 09/12/2024
NARRATIVE
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On 06/18/2024 between 10:05 AM and 11:40 AM, LPA Cortez conducted a tour of the facility, conducted a brief interview with a resident, and obtained copies of pertinent records. On 06/19/2024 IB investigator Ferris conducted an interview with the Reporting Party. On 08/20/2024, between 12:00 PM and 1:30 PM, LPA Cortez conducted one (1) resident interview, and three (3) staff interviews and attempted to conduct two (2) other resident interviews. On 09/09/2024 the LPA conducted three (3) resident interviews and attempted to conduct a fourth resident interview.

Staff sexually abused residents


On the allegation that Staff sexually abused residents; it is the concern of the RP that Staff#1 (S1) is molesting and raping residents at the facility. It was further reported that Residents #1, and Resident #2 (R1, R2) were the residents that were being molested. To investigate the allegation the LPA conducted resident and staff interviews and conducted physical tours of the facility. Additionally, IB investigator Ferris conducted an interview with the RP. During the RP interview conducted by IB investigator Ferris, the RP stated that S1 is very “compassionate” and “kind” and stated that they have never seen S1 touch any of the residents inappropriately. The RP also stated that S1 would “never do anything wrong to anyone.” Furthermore, the RP denied hearing any resident complained about S1 or any of the other staff and stated they have never witnessed S1 sexually abuse anyone.

All interviews conducted with the residents, including R1 and R2, revealed that staff does not mistreat them, residents feel safe, and residents did not voice any concerns of sexual abuse. R1 revealed that they feel safe at the facility and is happy. R2 revealed that staff treats them very well and they have never seen or heard any of the residents be mistreated. Interviews conducted with staff revealed that staff did not have any concerns or knowledge of sexual abuse occurring at the facility. Interviews with S1 revealed that S1 has been working at the facility for about two to three years and denies ever mistreating or abusing the residents. In addition, S1 stated that if they witnessed any abuse, they would report it to 911. Staff interviews revealed that S1 was dependable and compassionate, and that S1 has never been observed mistreating the residents. Furthermore, all staff interviewed regarding the above allegation stated that any abuse would be reported. On 06/18/2024, LPA Cortez toured the facility and did not observe any health or safety concerns. Additionally, on 09/09/2024 LPA Cortez observed five (5) out of six (6) residents who were either sleeping, or watching TV, and did not observe any health or safety concerns. Based on the investigation, there is insufficient evidence to support the claim that Staff sexually abused residents. Therefore, this allegation is deemed Unsubstantiated at this time. Report will continue on LIC9099-C (3RD PAGE).
SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther CortezTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 29-AS-20240617075107
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: KINDCARE SENIOR HOME
FACILITY NUMBER: 565850269
VISIT DATE: 09/12/2024
NARRATIVE
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Staff makes fun of residents/Staff tries to make the residents use the toilet against their will.
On the allegations that Staff makes fun of residents and Staff tries to make the residents use the toilet against their will it is the concern of the reporting party (RP) that S1 is always going back and forth in the facility making fun of people and that S1 is always in the bathroom trying to get the person to use the toilet against their will, like R1 and R2. To investigate the allegation the LPA conducted interviews and physical tours of the facility. Interviews conducted with staff revealed that staff did not have any concerns or knowledge of residents being made fun of or being forced to use the restroom. Interviews with S1 revealed that S1 has been working at the facility for about two to three years and denies making fun of the residents or forcing them to use the restroom against their will. In addition, S1 stated that they assist the residents with anything they need and that includes assisting the residents to the restroom. Staff interviews revealed that S1 was dependable and compassionate. All interviews conducted with the residents, including R1 and R2, revealed that staff does not mistreat them, and the residents feel safe. R1 revealed that they feel safe and has not been made fun of by staff. R2 revealed that staff treats them very well and has never heard staff make fun of the residents. Lastly, during the RP interview conducted by IB investigator Ferris, the RP stated that S1 is very “compassionate” and “kind” and that S1 would “never do anything wrong to anyone.” Furthermore, the RP denied any resident has ever complained about S1 or any of the other staff. Based on the investigation, there is insufficient evidence to support the allegations that Staff makes fun of residents and Staff tries to make the residents use the toilet against their will. This allegation is deemed Unsubstantiated at this time.

Exit interview conducted and copy of report emailed to Administrator.


SUPERVISOR'S NAME: Kasandra LopezTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Esther CortezTELEPHONE: (747) 230-2225
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3