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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347002550
Report Date: 11/09/2022
Date Signed: 11/09/2022 12:02:22 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/05/2022 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 25-AS-20220705100749
FACILITY NAME:HARMONY HOMEFACILITY NUMBER:
347002550
ADMINISTRATOR:CATA, CORNELIAFACILITY TYPE:
740
ADDRESS:5000 MELVIN DRIVETELEPHONE:
(916) 485-5541
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:6CENSUS: 6DATE:
11/09/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Emidio "Jimmy" ArreolaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff sexually abused resident while in care
Staff pushed a resident in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver findings to a complaint investigation for a complaint received on July 5, 2022. LPA met with staff, Emidio "Jimmy" Arreola, who contacted Administrator, Cornelia Cata, by phone. LPA spoke to Administrator, Cornelia, by phone, and explained purpose of inspection. Administrator stated she was at an appointment now and could not attend the inspection but authorized caregiver, Jimmy to sign today's reports. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols and was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and wore a surgical mask. LPA was informed by caregiver that (2) residents were currently at a medical appointment. LPA observed (4) residents present.

During the course of the investigation, the Department interviewed Administrator, staff (S1 and S2), resident (R1), other residents, Ombudaman and a family member of resident (R1). The Department reviewed documentation pertaining to resident (R1), including but not limited to, physician's report, preappraisal, and care plan. The results of the investigation are as follows:

cont on 9099C(1)..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
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 3
Control Number 25-AS-20220705100749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: HARMONY HOME
FACILITY NUMBER: 347002550
VISIT DATE: 11/09/2022
NARRATIVE
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9099C(1).. Allegation: Staff sexually abused resident while in care.
Complaint alleges that resident (R1) was being sexually abused by staff (S1). who allegedly hit her on her behind after she used to restroom and touched her breast inappropriately..

Resident (R1) stated in an interview that staff member (S1), was too aggressive with her and he slapped her bare bottom one day after she used the toilet. In the same interview, R1 stated she doesn't believe S1 had sexual intentions and there was only one incident and she would like to "drop the whole subject", and she doesn't want S1 to have any "strikes" against him and that if she was indeed sexually abused, she would "stand by it". R1 reiterated that what happened to her was not sexual abuse and she wants to forget the whole subject.

Administrator stated that she has had no issues with S1 for many years and he is a "super nice man" who the residents like a lot. Administrator stated that R1 immediately wanted to go home when she arrived at the facility and would have hallucinations, at times, and would "hear voices".

Staff (S1) denied both physical and sexual abuse allegations made by R1 and stated although R1 was not clinically diagnosed with Dementia, her doctor said she did have it. Resident's pre-appraisal states that resident has "some confusion, forgetfulness and hallucinations". S1 stated he has been a caregiver for a long time and knows the residents' rights and would never slap a resident or touch them inappropriately.

Resident's family member stated that R1 has a history of "making stores up" in order to be removed from the care home and has done this for the past (3) years. Resident's family member stared that S1 is a "lovely" caregiver who is kind and caring and does not believe that S1 would touch her mom inappropriately.

Based on information obtained, the Department finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.


cont on 9099C(2)..
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 25-AS-20220705100749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: HARMONY HOME
FACILITY NUMBER: 347002550
VISIT DATE: 11/09/2022
NARRATIVE
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9099C(2)... Allegation: Staff pushed a resident in care.
Complaint alleges that after finishing using the toilet, resident (R1) got up with her bottom still bare and staff (S1) slapped her on the bottom using his hand and S1's wife (S2) was present and witnessed the whole incident.

Staff (S1) denied the slapping R1 when asked and staff (S2) stated she never witnessed resident being slapped on the buttocks after using the toilet, and the allegations are "false".

S1 stated on 7/6/22 that R1 has had a "very difficult time adjusting to living at the facility since she moved in two weeks ago". Administrator stated that these allegations "didn't happen" and residents are very happy to be placed at the facility with the good caregivers she has. Administrator stated there is no question in her mind that S1 did not physically or sexually abuse R1.

(3) residents were interviewed. (1) resident (R2) indicated that they have had a positive experience living at the facility and staff are always available to assist. Resident (R3) stated he receives "excellent" treatment by staff and he has no complaints, stating staff are "nice and accommodating". Resident (R4) stated that he is "generally quite satisfied" with the care he receives at the facility and S1 provides most of his daily care, stating S1 is "quite competent" and very helpful.

R1's family member does not believe R1 and stated R1 has a history of making false allegations so she can leave her current placement. and stated she did not understand why R1 was not diagnosed with Dementia. R1's family member stated she has had lots of interactions with S1 and S1 is "lovely", kind and caring and she has no concerns about any mistreatment at the facility. R1 reiterated that she believes R1 "manipulated" in order to be removed from the home.

Based on information obtained, the Department finds the allegation to be UNSUBSTANTIATED- A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview with caregiver, Jimmy Arreola, who was authorized to sign today's report by Administrator. . Copy of report left at the facility.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3