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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005436
Report Date: 06/19/2025
Date Signed: 06/19/2025 08:40:49 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
04/12/2024 and conducted by Evaluator Claudia Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240412163243
FACILITY NAME:VICTORIA VILLA HOMEFACILITY NUMBER:
306005436
ADMINISTRATOR:OLTEANU, CLAUDIAFACILITY TYPE:
740
ADDRESS:11132 FRALEY STREETTELEPHONE:
(949) 232-9619
CITY:GARDEN GROVESTATE: CAZIP CODE:
92841
CAPACITY:6CENSUS: 6DATE:
06/19/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Edna JoseTIME COMPLETED:
08:55 AM
ALLEGATION(S):
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Facility staff sexually abused resident
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Staff Edna Jose and explained the purpose of the inspection.

Complaint alleges Staff 1 (S1) sexually abused Resident 1 (R1).

During the course of the investigation, documentation review was conducted to include R1’s Individual Program Plan (IPP) and interviews were conducted with R1, facility residents, and staff.

Per IPP dated January 31, 2024, R1 receives assistance to change her adult incontinence supplies when they are wet to prevent rashes and requires a Hoyer lift and two-to-three-person support with all lifts and transfers due to size and weight of 321lbs. (Cont. LIC9099-C)

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
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-20240412163243
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: VICTORIA VILLA HOME
FACILITY NUMBER: 306005436
VISIT DATE: 06/19/2025
NARRATIVE
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R1 also has a history of making false statements, defined as not telling the truth.

During their interview, R1 did not disclose any sexual or physical abuse and stated they no longer reside at the facility. R1 stated S2 was “better than” S1. Per R1, S1 once cleaned them towards the end of their stay at the facility, and because S1 did not clean them “right”, they got an infection. R1 stated this occurred a “couple times” but was unable to recall additional times this occurred.

During their interview, S1 denied the allegation and stated S2 was the primary caregiver assigned to R1. Per S1, they never assisted R1 independently and only assisted S2 by shifting R1’s weight during bathing, transfers, and diaper changes, which occurred three to five times a day.

During their interview, S2 stated they were the primary caregiver for R1, and for the female residents at the facility. S2 stated they, and not S1, would clean and change R1’s diaper, while S1 assisted with shifting R1’s body and weight in order to complete incontinence care. S2 denied S1 ever cleaned or changed R1’s diaper. S2 denied witnessing S1 ever touching R1 inappropriately.

During their interview, S3 denied witnessing or having knowledge of S1 sexually abusing R1. Interviews were also conducted with three facility residents. Two of three residents were unable to confirm or deny allegation due to being non-verbal and one of three residents interviewed denied the allegation.

Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if facility staff sexually abused resident. Although the above 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 at this time the above allegation is unsubstantiated.

An exit interview was conducted and copy of this report was provided at the end of the inspection.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Claudia Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2025
LIC9099 (FAS) - (06/04)
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