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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880552
Report Date: 11/08/2021
Date Signed: 11/08/2021 04:44:25 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/18/2021 and conducted by Evaluator Jennifer Semin
COMPLAINT CONTROL NUMBER: 18-AS-20210318100048
FACILITY NAME:CURA AMOREFACILITY NUMBER:
331880552
ADMINISTRATOR:VITO, ANNA BELLAFACILITY TYPE:
740
ADDRESS:2394 MONTEREY PENINSULA DRTELEPHONE:
(626) 423-9194
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:6CENSUS: 5DATE:
11/08/2021
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Anna Bella VitoTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member inappropriately handled resident.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to the facility to deliver the findings for the above complaint allegation. LPA met with Administrator Anna Bella Vito.

The investigation consisted of interviews and record review. The allegation, Staff member inappropriately handled resident. All staff stated they do not handle residents roughly or inapproprioately. Staff 1 stated Resident 1 (R1) did not report anything to her nor did R1 have any sign of injury. Relevant party stated Resident 1 (R1) did not have any signs or symptoms of injury, complaint of any staff mistreatment and was R1 was on pain management medication. R1 stated the staff were very nice and never hurt her.
Based on interviews and although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time.
An exit interview was conducted where this report was discussed and provided to Ms. Vito.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Jennifer Semin
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
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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