Complaint Investigation Report

197608084-5-27-2022-31-AS-NMAN-CHVMUW-20220902095548

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/01/2021 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20210901125210

This is an addendum of the previous Licensing Report issued on 5/17/2022.

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted a subsequent complaint investigation visit to the facility. LPA met with Staff who was administrator's designee. The purpose of the visit was discussed.

It was reported that Resident #1 (R1) was being sexually abused.

During the initial visit, on 09/01/2021, R1 was interviewed and appeared to be confused and disoriented. R1’s statement regarding sexual abuse was inconsistent and without a reasonable basis.

At the time of the subsequent visit on 05/17/2022, between 10:25am and 10:40am, LPA Valenzuela spoke with Staff #1 (S1), who indicated that R1 has medical diagnoses that affects their judgement. R1 has a history of making up stories. R1 never disclosed to S1 about sexual abuse.

On 5/17/2022 at 10:45am, LPA Valenzuela reviewed R1's physician's report, which indicated that in addition to a Dementia diagnosis, R1 has other mental health problems. A review of the physician report and other facility records verified the information received from staff.

Based on interviews and record review there is no sufficient information to verify this allegation.

Therefore, the allegation is UNSUBSTANTIATED at this time.