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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880645
Report Date: 11/23/2025
Date Signed: 11/23/2025 02:52:14 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
09/23/2022 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 18-AS-20220923161355
FACILITY NAME:BELLA VILLAGGIOFACILITY NUMBER:
331880645
ADMINISTRATOR:JIM GERMYNFACILITY TYPE:
740
ADDRESS:40235 PORTOLA AVETELEPHONE:
(760) 607-5200
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:170CENSUS: 92DATE:
11/23/2025
UNANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Kimberly PedrosaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility phones are not being answered.
Staff are not providing a safe environment for residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. LPA met with the Business Manager (BM), Kimberly Pedrosa, and advised her of the complaint. The ten day visit was made by LPA Yolanda Delgado on 09/26/22. Today's investigation consisted of of interviews with the BM, staff and residents. A physical plant inspection was also made.

Facility phones are not not being answered:
In regards to the allegation, it was reported that calls to facility were made in the past, to no answers by staff. Dates and times have not been identified to this allegation. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding phone service. Prior to today's investigation, LPA Cava called facility to run a test if call will by answered, and call was.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2025
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 18-AS-20220923161355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: BELLA VILLAGGIO
FACILITY NUMBER: 331880645
VISIT DATE: 11/23/2025
NARRATIVE
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Based on the information obtained, it could not be proven that calls made to facility are not being answered. Therefore, the allegation is deemed Unsubstantiated at this time.

Staff are not providing a safe environment for residents in care:
In regards to the allegation, it was reported that due to phone calls not being answered by facility staff, there is some concern for the health and safety of the residents in care. There were no times and dates provided as to when calls being made were not answered. Prior to this investigation, LPA Cava made a call to the facility, and call was answered by facility staff. Between 9:20am to 10:20am, interviews with the BM and three (3) of three staff deny the allegation. Between 10:20am and 11:20am, interviews with ten (10) of ten residents expressed no complaints or concerns regarding phone service. Between 11:20am to 12:00pm, LPA conducted a physical plant inspection, and observed sufficient staff monitoring the floors during the visit.

Based on the information obtained, there was insufficient evidence to prove that staff are not providing a safe environment for residents in care. Therefore, the allegation is deemed Unsubstantiated at this time.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2