331880552-10-16-2023-18-AS-EMAN-CWSV73-20231020161027

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880552
Report Date: 10/16/2023
Date Signed: 10/16/2023 01:05:30 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
03/16/2021 and conducted by Evaluator Ryan Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210316130446

FACILITY NAME:	CURA AMORE		FACILITY NUMBER:	331880552
ADMINISTRATOR:	VITO, ANNA BELLA		FACILITY TYPE:	740
ADDRESS:	2394 MONTEREY PENINSULA DR		TELEPHONE:	(626) 423-9194
CITY:	CORONA	STATE: CA	ZIP CODE:	92882
CAPACITY:	6	CENSUS: 6	DATE:	10/16/2023
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Anna Bella Vito- Administrator		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff do not assist the resident with incontinence care.
Staff do not provide activities.
Staff yell at the resident.
Staff misplaced the resident's belongings.
Staff do not assist the resident with hygiene.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to investigate and deliver findings for the allegations listed above. LPA stated the purpose of the visit and was granted entry and met with Administrator Anna Bella Vito. The investigation consisted of a facility tour, resident interviews, staff interviews, and document review.

For allegation, Staff do not assist the resident with incontinence care:

Interviews with residents and the staff revealed that there are no issues with the staff providing incontinence care to the residents. The staff denied neglecting the resident’s incontinence needs. The staff stated that the resident’s diapers are changed when the residents wake up, after each meal, before bed, as well as more often on an as needed basis. The residents do not have any concerns with their incontinence care being provided by the staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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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Control Number 18-AS-20210316130446

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CURA AMORE	FACILITY NUMBER: 331880552
	VISIT DATE: 10/16/2023

NARRATIVE

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For allegation, Staff do not provide activities:

LPA toured the facility and found a supply of activities and games in the main living area. Interviews with residents and the staff revealed that the staff provide activities for the residents. The facility has activities such as watching movies together, eating meals outside together, puzzles, bingo, coloring, balloon toss, and hand/leg exercising. The residents do not have any concerns with the number of activities available at the facility.

For allegation, Staff yell at the resident:

Interviews with residents and the staff revealed that the staff do not yell at the residents. The staff denied yelling at the residents. The residents denied that the staff yell at them.

For allegation, Staff misplaced the resident's belongings:

Interviews with residents and the staff revealed that there was no evidence of the staff misplacing a resident’s belongings. The staff denied taking or moving personal items from the resident’s bedrooms. If a resident misplaces a personal belonging, the staff will help the resident look for the item. The residents denied having any issues with staff misplacing their personal belongings.

For allegation, Staff do not assist the resident with hygiene:

Interviews with residents and the staff revealed that there are no issues with resident hygiene. The staff denied neglecting the resident’s hygiene needs. The residents stated that the staff helps them with their hygiene needs.

Overall, there was not enough evidence to collaborate the allegations listed above.

Based on evidence obtained during the investigation, the five (5) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20210316130446

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CURA AMORE	FACILITY NUMBER: 331880552
	VISIT DATE: 10/16/2023

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Anna Bella Vito, along with a copy of the appeal rights.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC9099 (FAS) - (06/04)

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