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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603313
Report Date: 06/14/2024
Date Signed: 06/14/2024 01:36:54 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
05/16/2024 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240516091513
FACILITY NAME:TONOPAH HOME LIVINGFACILITY NUMBER:
198603313
ADMINISTRATOR:NGO, ANTHONYFACILITY TYPE:
740
ADDRESS:333 TONOPAH AVE.TELEPHONE:
(626) 363-4343
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:6CENSUS: 5DATE:
06/14/2024
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Jossen Maglalang - DSP II
Lara Langa - DSP I & II / Co-Manager
TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Resident was sexually abused while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint visit with regards to the above-mentioned allegation. LPA met with Jossen Maglalang, Direct Support Professional II (DSP II) and explained the reason for the visit. Staff Maglalang called the Administrator on the phone and stated that he will not be able to come to the facility. At approx. 10:30am, Lara Langa, DSP/Co-Manager arrived and assisted LPA with the investigation.

Investigation consisted of the following: During the initial Health & Safety check visit on 5/17/2024, LPA conducted a tour of facility, common areas and C1's bedroom, obtained Resident #1 (R1) records and files, Unusual Incident/Injury reports (5/14/2024 & 5/15/2024) and facility’s records/files. No Health and/or Safety concerns observed at the time.

During today’s visit, LPA obtained staff & residents rosters, emailed San Gabriel Pomona Regional Center (SGPRC) to ask for the Corrective Action Plan (CAP) and interviewed Administrator (A1) and Staff #3 (S3) on the phone, and Staff #1 (S1) – Staff #2 (S2) in person. *****REPORT CONTINUED ON LIC9099-C*****
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
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 28-AS-20240516091513
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: TONOPAH HOME LIVING
FACILITY NUMBER: 198603313
VISIT DATE: 06/14/2024
NARRATIVE
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The investigation revealed the following:

In regards to the allegation: “Resident was sexually abused while in care.”, it is alleged that a boy came in Resident #1 (R1)’s room, took off R1’s top and raped R1. It is also alleged that the boy touched R1 in the private area between the legs. This investigation was completed by Investigator Christine Ferris with the Investigations Branch. Interviewed staff denied the allegation and stated that the facility does not have male staff except for the Administrator. Staff stated that no one has reported anything to them about any type of abuse. All staff interviewed indicated that they have not seen any "boys" or male in any resident's room. Staff stated that male workers would do maintenance work in the facility from time to time, however the work is done when the clients are out in the day program. Administrator stated that there was always staff supervision when maintenance work is being done. R1 did not disclose any sexual abuse during the interview and denied any “boys” have been in the home or in R1’s room. R1 denied anyone she did not want in her room has entered her room. R1 also denied anyone touched her in her private areas while at home. R2-R3 denied any “boys” enter the home or the clients’ rooms, denied any knowledge of sexual abuse, and denied anyone disclosed any sexual abuse to them. All 3 residents stated they feel safe and well cared for in the facility. W1 stated that she has no concerns with the facility or with the client’s safety. Administrator stated that San Gabriel Pomona Regional Center (SGPRC) was aware of the allegation and conducted investigation but A1 has not received an update or report. LPA followed up with SGPRC but no response received. LPA reviewed the Personnel report/LIC500 and did not observe any male staff on the roster except for the Administrator.

Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.



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.

Exit interview and a copy of this report was provided to Lara Langa, DSP I & II /Co-Manager.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
LIC9099 (FAS) - (06/04)
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