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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600775
Report Date: 08/17/2022
Date Signed: 08/17/2022 01:16:48 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/10/2022 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220810134249
FACILITY NAME:STRATA BELLA (NORWALK) CORPORATIONFACILITY NUMBER:
198600775
ADMINISTRATOR:RUDY DEOCAMPOFACILITY TYPE:
735
ADDRESS:13213 FLALLON AVENUETELEPHONE:
(562) 864-9803
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:4CENSUS: 3DATE:
08/17/2022
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Johnette Bellosillo, licenseeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility withholds client's P&I funds.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted an initial complaint investigation on the above allegation. LPA met with licensee, Johnette Bellosillo and explained the purpose of the visit today.

During today's visit, LPA obtained a copy of the staff roster and client roster. LPA reviewed Client #1's (C-1) file and obtained relevant documents. Interviews were conducted with the licensee, Staff #1 – Staff #3 (S-1 through S-3), and Client #1 (C-1). The other 2 clients were not home for interview.

Allegation: Facility withholds client’s P&I funds. During this visit today, LPA reviewed C-1's file and conducted interviews with the licensee, 3 Staff, and C-1. The licensee stated that C-1 did not ask for money until recently when they started going on outings at the day program. Licensee denied withholding any clients’ P&I funds. She stated the staff documents all the purchases and money given to clients. LPA reviewed the P & I ledgers from the time C-1 moved in until current.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
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 28-AS-20220810134249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: STRATA BELLA (NORWALK) CORPORATION
FACILITY NUMBER: 198600775
VISIT DATE: 08/17/2022
NARRATIVE
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The spending and amount given were all documented and signed by C-1. According to Staff, C-1 does not ask for cash but only to purchase items. When C-1 does asks, staff stated that they would contact the owner and the owner will always allow it. LPA interviewed C-1 and client stated that the owner has recently been giving the P&I fund when requested. Based on file review and interviews, there is insufficient evidence to support this allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted. A copy of this report and appeal rights were provided to licensee.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2