197610147-7-21-2022-31-AS-CHAS-CJ79KG-20220911232616

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610147
Report Date: 07/21/2022
Date Signed: 07/21/2022 09:16:40 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/22/2022 and conducted by Evaluator Nicholas Reed

COMPLAINT CONTROL NUMBER: 31-AS-20220422140837

FACILITY NAME:	HOME CARE OF WEST HILLS #2 LLC		FACILITY NUMBER:	197610147
ADMINISTRATOR:	CAPATAYAN, GLENN R.		FACILITY TYPE:	740
ADDRESS:	22523 SCHOOLCRAFT STREET		TELEPHONE:	(818) 932-0079
CITY:	WEST HILLS	STATE: CA	ZIP CODE:	91307
CAPACITY:	6	CENSUS: 5	DATE:	07/21/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Joanne Fatima Gatela		TIME COMPLETED:	09:25 AM

ALLEGATION(S):

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Resident was sexually abused while in care

INVESTIGATION FINDINGS:

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At 9:00 a.m. on 07/21/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced subsequent complaint visit. LPA met with staff in charge and disclosed the reason for the visit.
Regarding the allegation above, it was alleged Staff #1 (S1) sexually abused Resident #1 (R1) while R1 was in the care of the facility. The case was referred to the Investigations Branch (IB) on 04/22/2022. LPA Reed conducted an initial 10-day visit on 04/25/2022 at 10:30 a.m. and conducted a records review. IB Investigator Laura Garcia conducted staff and resident interviews at 10:30 a.m. on 06/13/2022. From interviews, S1, S2, and S3 confirmed that S1 has worked only with male residents. S1 has never provided care for R1. S2 and S3 also noted R1’s history of false allegations. When interviewed, R1 could not recall any instances of sexual abuse and had no problems with the care provided by the facility. R1 further denied ever receiving care from S1 or knowing S1. Based on information obtained from record review and interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed unsubstantiated at this time. Exit interview conducted, appeal rights discussed, and a copy of the report was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Nicholas Reed
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022

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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