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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019201373
Report Date: 11/17/2025
Date Signed: 11/17/2025 01:07:46 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, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/13/2025 and conducted by Evaluator Alicia Delmundo
COMPLAINT CONTROL NUMBER: 15-AS-20251113082718
FACILITY NAME:BELLARA SENIOR LIVINGFACILITY NUMBER:
019201373
ADMINISTRATOR:COLLETTE VALENTINEFACILITY TYPE:
740
ADDRESS:22400 2ND STREETTELEPHONE:
(760) 547-2863
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY:175CENSUS: 104DATE:
11/17/2025
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Arturo 'Art' Blancas/Director of Facilty OperationsTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff does not ensure resident has adequate lighting in the bathroom.
INVESTIGATION FINDINGS:
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On this day, November 17, 2025, at 10:10 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to investigate the above allegation. LPA met with Director of Facilty Operations (DFO) Arturo 'Art' Blancas and informed the reason for visit.

The reporting party (RP) stated the facility has motion sensor light switches in the bathrooms which cause light to go out and bathroom to go dark. This is especially dangerous when showering because the resident had to get out with wet feet to try and get light back on. The RP also stated the facility informed them that they would not change the light switches to be normal on/off and was told to put a plugged in lamp but the shower is still dark with shower curtain closed.

LPA obtained copies of resident roster and email communication with family member and conducted interview.

......continued on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
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 15-AS-20251113082718
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: BELLARA SENIOR LIVING
FACILITY NUMBER: 019201373
VISIT DATE: 11/17/2025
NARRATIVE
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LPA interviewed the DFO who stated that the issue is not ignored. DFO indicated he had communicated with a family member and recommended the plug-in light as an alternative as he continues to research for a potential light switch that will be more convenient. DFO further stated that he had a conversation with the building contractor sometime last week. Although the building contractor informed him that it is okay to purchase the light switch to replace the motion sensor light, but because it is electrical, he would like to have the contractor do the work. On this same day, DFO called the contractor to schedule the replacement of the bathroom lights.

Based on information gathered, the allegation is unsubstantiated. A finding that the complaint 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.

No deficiency cited.

Exit interview conducted and copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2