198600650-10-27-2023-28-AS-TVAO-CX7TC3-20231102143604

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600650
Report Date: 10/27/2023
Date Signed: 10/27/2023 12:24:11 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/06/2023 and conducted by Evaluator Elizabeth Irra

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230906095557

FACILITY NAME:	DIAMOND GEM HOME CARE		FACILITY NUMBER:	198600650
ADMINISTRATOR:	REMY COLEMAN		FACILITY TYPE:	735
ADDRESS:	2468 LENNOX ST		TELEPHONE:	(909) 626-5307
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY:	6	CENSUS: 5	DATE:	10/27/2023
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Elizabeth Stacy		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Personal Rights/Client was sexually abused while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegation. LPA met Elizabeth Stacy and explained the purpose of today’s visit.

On 09/06/23, LPA Irra conducted the initial 10-day complaint visit. LPA met with Elizabeth Stacy/S-1 and explained the purpose of this visit. During this visit, LPA conducted a tour of this facility. LPA did not observe any signs of neglect, abuse or other immediate health and safety threats. LPA also reviewed files for C-1 and obtained relevant documentation.

During this investigation, Investigator Olivia Spindola (CCLD-Investigation Branch) interviewed C-1(unable to answer any questions) and Facility Administrator/S-1. LPA Irra interviewed Staff #2 (S-2) through Staff #4 (S-4) and San Gabriel Pomona Regional Center Manager to Quality Assurance. LPA interviewed Client #2 (C-2), Client #4 (C-4) and Client #5 (C-5). LPA was unable to interview Client #3 (C-3) and Client #6 (C-6) as both were unable to answer interview questions. Refer to LIC 9099C for the continuation of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023

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 28-AS-20230906095557

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: DIAMOND GEM HOME CARE	FACILITY NUMBER: 198600650
	VISIT DATE: 10/27/2023

NARRATIVE

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Allegation: Personal Rights/ Client was sexually abused while in care. Per Investigator Olivia Spindola’s report, per Facility Administrator interview, on 09/05/23, C-1 was taken to the hospital emergency room for an evaluation related to C-1’s urinary tract system. During the evaluation, it was alleged that a “non mobile STD was found in C-1’s urine”. However, upon further tests during this hospital visit, C-1 later tested negative for STDs and was released back to this facility. Interviewed staff indicated there are only female staff provide care and supervision for all clients at this home. Interviewed staff indicated they have not witnessed nor received any complaints in regards to clients being sexually abused while in care. San Gabriel Pomona Regional Center did not express any concerns regarding this allegation. Interviewed clients indicated female staff provide them with assistance. Interviewed clients indicated they have not witnessed nor have been inappropriately touched by staff. Interviewed clients have not heard any complaints pertaining to this matter. Staff interviews, client interviews and collected documentation do not corroborate this allegation.

Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview conducted, appeal rights and a copy of this report was provided to Elizabeth Stacy.

SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2023

LIC9099 (FAS) - (06/04)

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