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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 371881471
Report Date: 12/12/2024
Date Signed: 12/12/2024 11:07:46 AM

Unfounded


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
11/20/2024 and conducted by Evaluator Kathleen Banrasavong
COMPLAINT CONTROL NUMBER: 18-AS-20241120123301
FACILITY NAME:BELLAHOMECARE IIFACILITY NUMBER:
371881471
ADMINISTRATOR:COOK, CHERRYFACILITY TYPE:
740
ADDRESS:884 GRETNA GREEN WAYTELEPHONE:
(760) 975-3751
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:6CENSUS: 4DATE:
12/12/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Caregiver, Arden Valdobino TIME COMPLETED:
11:25 AM
ALLEGATION(S):
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Staff hit resident
Staff verbally abuse resident
Staff finacially abuse resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst, (LPA) Kathleen Banrasavong, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Caregiver, Arden Valdobino and had the Administrator, Cherry Cook, on the phone, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observations, interviews with staff members and residents, and a review of records.

On November 20, 2024, Community Care Licensing received a complaint alleging that the staff hit Resident 1 (R1). It was alleged that R1 was hit with towels. The allegation did not mention a specific staff member. Information obtained from interview with Administrator and staff denied the allegation and stated that there have been no advisements of residents hit by staff member with a towel. Information obtained from interview with R1 stated that staff members at the facility did not hit R1 with towels. Information obtained from additional witnesses stated that R1 had made prior allegations about a facility he was living at prior to becoming a resident at this facility. No issues or concerns about being physically abused by staff were reported.

Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Kathleen Banrasavong
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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-20241120123301
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: BELLAHOMECARE II
FACILITY NUMBER: 371881471
VISIT DATE: 12/12/2024
NARRATIVE
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It was also alleged that the facility staff were verbally abusing R1 by saying inappropriate comments about R1’s deceased mother. During the investigation, information obtained from interview with Administrator indicated that the staff do not verbally abuse residents. Administrator stated that staff are aware of resident’s personal rights and are required to treat all residents with respect. Information obtained from interview with R1 stated that staff did not make comments about their deceased mother. R1 stated that staff do not speak to them inappropriately. LPA conducted interviews with staff members, who denied they made inappropriate comments regarding R1’s deceased mother. Information obtained from interviews with all pertinent parties corroborated the information.

Regarding the allegation that the facility was financially abusing R1, it was reported that the facility staff was stealing money from R1. Information obtained stated that R1 has a payee, who handles all of R1’s finances. Administrator corroborated the information and further stated that the facility does not have access to R1's. Information obtained from interview with R1 denied that staff members are financially abusing them due to them having a payee who handles their finances. Information obtained from interviews with additional parties revealed no issues or concerns regarding financial abuse.

Based on the information obtained during the investigation, this agency has investigated the complaint alleging that staff hit the resident, verbally abused the resident, and financially abused the resident. We have found that the complaint was unfounded, meaning that the allegations are false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted, and a copy of this report was discussed with and provided to Administrator, Cherry Cook over the phone and signed by Caregiver, Arden Valdobino.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Kathleen Banrasavong
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2