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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005194
Report Date: 09/28/2021
Date Signed: 09/28/2021 10:08:06 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/17/2021 and conducted by Evaluator Rosie Quiroz
COMPLAINT CONTROL NUMBER: 22-AS-20210617145302
FACILITY NAME:GOLDEN TOUCH GUEST HOMEFACILITY NUMBER:
306005194
ADMINISTRATOR:ENCARNACION, JOEYFACILITY TYPE:
740
ADDRESS:10688 LEHNHARD AVETELEPHONE:
(714) 875-8494
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:6CENSUS: 6DATE:
09/28/2021
UNANNOUNCEDTIME BEGAN:
08:58 AM
MET WITH:Joko Encarnacion, Caregiver and Joey Encarnacion, Licensee/AdministratorTIME COMPLETED:
09:37 AM
ALLEGATION(S):
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Facility staff sexually assaulted resident
INVESTIGATION FINDINGS:
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On today’s date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an announced visit for the purpose of delivering findings regarding complaint control #22-AS-20210617145302. This Complaint was investigated by the Department.
The following was concluded:
The Department received a complaint alleging that Facility staff sexually assaulted resident.
The investigation revealed that on 6/30/2021 at approximately 1420, Resident 1 (R1) alleged they awoke and witnessed a naked man in their room standing over their roommate masturbating.
The interviews conducted and documentation reviewed revealed that R1 has a diagnose of Alzheimer’s disease. R1’s physician report dated 8/13/2021 indicates R1 is not able to follow instructions, not able to communicate needs, and is confused/disoriented and has inappropriate behaviors.

CONTINUED ON NEXT PAGE LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
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 22-AS-20210617145302
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: GOLDEN TOUCH GUEST HOME
FACILITY NUMBER: 306005194
VISIT DATE: 09/28/2021
NARRATIVE
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A two-page letter written by R1’s daughter on 6/18/2021 addressed to California Department of Social Services documented multiple examples of R1’s irrational events in the past caused by hallucinations, paranoia, and dementia.
During the investigation seven of seven interviewees provided statements where it was determined that the allegation could not be corroborated by evidence nor witnesses. Six of seven interviewees reported R1 to be more confused, disoriented as well as reports of ongoing allegations made by R1 that others are trying to hurt R1 and steal items from R1, such as shampoo and toiletries.
Therefore, based on the preponderance of evidence gathered through multiple interviews and documents obtained; the allegation “Facility staff sexually assaulted resident" is deemed to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.
An exit interview was conducted with Administrator Joey Encarnacion, and a copy of this report was provided.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
LIC9099 (FAS) - (06/04)
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