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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607206
Report Date: 05/05/2023
Date Signed: 05/05/2023 10:14:13 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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/27/2022 and conducted by Evaluator Ana Soto
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20220727140407
FACILITY NAME:GOLDEN CARE LIVING, INC.FACILITY NUMBER:
197607206
ADMINISTRATOR:ANGELIQUE S. GRADNEYFACILITY TYPE:
740
ADDRESS:2052 REDONDELA DRIVETELEPHONE:
(310) 989-1941
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90275
CAPACITY:6CENSUS: 5DATE:
05/05/2023
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Rachel Lugtu, House ManagerTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff sexually abused a resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint investigation to deliver findings and decisions for the allegation listed above. Today’s complaint investigation was conducted with Rachel Lugtu, House Manager

IB conducted investigation, IB investigator Laarni Santiago’s investigation consisted of following: Interviews and Record reviews. Between 08/11/22 – 11/08/22, IB investigator interviewed W#1 – W#14. LPA Cifuentes requested and received the following documents on 07/28/22: Staff roster, resident roster, and other documents pertinent to the investigation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
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 2
Control Number 11-AS-20220727140407
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: GOLDEN CARE LIVING, INC.
FACILITY NUMBER: 197607206
VISIT DATE: 05/05/2023
NARRATIVE
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Based on the IB’s investigation, the investigation revealed the following. For Allegation – Staff sexually abused a resident in care. Interviews were conducted with collateral agencies and pertinent parties which revealed that there is insufficient evidence indicative of the alleged sexual abuse committed by staff. Although the informant perpetuated the alleged, staff refuted the claim and there were no witnesses to corroborate the incident. The victim could not disclose sexual abuse and was unable to provide a name or description of the staff due to their medical condition. Other residents were interviewed and denied any history of sexual abuse or misconduct by staff. Administrator and other staff members did not disclose any concerns pertaining to staff toward residents. Investigation revealed that there was insufficient evidence to support the alleged sexual abuse, therefore, the alleged is found to be unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

An interview was conducted with Rachel Lugtu, House Manager and a hard copy of report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2