Complaint Investigation Report

On 04/01/2025 from 09:45AM to 11:35AM, Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced initial complaint visit to the facility. LPA Barutyan met with the Administrator upon entry and explained the reason for the visit. The LPA informed the Administrator that the complaint was assigned to the CCLD IB Investigator Darlene Gonzalez. From 10AM-11:35AM, the LPA requested and reviewed copies of pertinent documents, and along with the Administrator conducted a physical plant tour. The LPA determined further investigation was required prior to issuing a finding.

On 05/01/2025, Investigator Torre along with Investigator J. Rojas conducted interviews with C1 at approximately 10:11AM and with three (3) staff between 10:37AM-11:20AM. On 06/12/2025, Investigator Torre along with Investigator J. Thomas conducted interviews with two (2) clients at approximately 10AM-10:30AM. On 07/02/2025, at approximately 10:55AM, Investigators Torre and Thomas interviewed S3. On 07/11/2025, Investigators Torre and Thomas interviewed S2 at 06:12AM and S1 at 10:10AM. On 07/17/2025, Investigator Torre conducted a telephonic interview with C1’s responsible party at approximately 03:36PM. In addition, the investigator requested and obtained police reports from the local police dated 03/28/2025 and 04/18/2025 and C1’s medical records.

A review of C1’s Individual Program Plan (IPP), dated 01/10/2024 revealed C1 would like to continue to reside in the facility and that C1 had a history of fabricating allegations about relationship at times, including allegations about the staff and other client/residents. C1’s Annual Report/ISP dated 01/10/2024, noted period from 01/2024 to 01/2025, indicated C1 as ambulatory diagnosed with bordering personality disorder and schizoaffective disorder and able to communicate wants/needs and have in depth conversations. C1’s Physician Report, revealed C1’s medical diagnosis included schizoaffective disorder (primary) and mild intellectual disability (secondary). C1 was noted as being ambulatory, able to complete activities of daily living (ADLs) unassisted which included bathing, dressing and feeding. However, C1 was unable to leave the facility unsupervised, or manage their own cash resources. C1’s admission agreement was signed and dated 11/25/2014.

During the Department’s investigation, the interview with C1’s responsible party revealed that C1 had a history of making similar allegations in the past. C1’s responsible party stated that the facility was a great place and did not think the abuse occurred. During the investigation, it was revealed that there were no witnesses to the abuse.