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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603340
Report Date: 10/10/2022
Date Signed: 10/15/2022 11:00:58 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/17/2022 and conducted by Evaluator Pamela Bunker
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20220617154549
FACILITY NAME:FIDLER COTTAGEFACILITY NUMBER:
198603340
ADMINISTRATOR:AVILA, GLENDAFACILITY TYPE:
740
ADDRESS:2874 FIDLER AVETELEPHONE:
(424) 241-4625
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:6CENSUS: 6DATE:
10/10/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Kian PascualTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
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Financial Abuse
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Monday, October 10, 2022. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with Kian Pascual and spoke to Administrator Heidi Skiles via telephone. LPA Bunker explained the purpose of today's visit.

The investigation consisted of the following: During the course of the investigation LPA Bunker interviewed staff 1-3 (S1-S3), residents 1-3 (R1-R3), and witnesses 1-2 (W1-W2) all stated the facility staff is not financially abusing residents. Allegation: Financial Abuse: S1-S3, R1, and W1 stated it was a misunderstanding. R1 stated she tried to transfer money to pay for her room and board over the phone. R1 stated she entered the wrong password after too many attempts the bank blocked her bank account from making any transactions. R1 stated the bank said she had to come in person to reset her password.
See continued LIC9099-C page 2

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephanie CifuentesTELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Pamela BunkerTELEPHONE: (323) 213-1113
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022
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 11-AS-20220617154549
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: FIDLER COTTAGE
FACILITY NUMBER: 198603340
VISIT DATE: 10/10/2022
NARRATIVE
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Continued LIC9099-C page 2

R1 stated her POA took her to the credit union. R1 stated her California Identification Card had expired and the bank would not allow her to make any changes or transactions to her bank account until she had proper identification. R1 stated this delayed her from paying her rent on time. Staff 1-3 (S1-S3) stated none of the residents are being financial abuse. Residents 1-3 (R1-R3) stated they are not financial abuse by staff.

Investigation revealed the following: Staff S1-S3 (S1-S3) stated on 06/17/2022, R1 POA and R1 went into California Credit Union. R1 stated her POA is a close friend he has been her friend for many years and will never financially abuse her. R1 stated her POA is family to her. R1 stated she wanted her POA to set up an automatic payment from her account to go to the facility for her room and board. R1 stated her POA called the facility staff to tell them what was going on at the bank. R1 stated the staff requested to speak with the banker and reiterated that he would like the bank to set up automatic payments to the facility from the resident's account. Administrator Heidi Skiles stated she called and asked the banker when could she expect payments from the resident's account. Mrs. Heidi stated the bank said they could not do that. R1 stated she wants her POA to handle all her medical and finances. R1 stated she can make decisions for herself but want her POA to assist. R1 stated she is in a wheelchair, she is not ill, and she is alert to make a decision for herself. R1 stated the glass at the bank is thick, she had trouble understanding the teller, and they were both wearing a mask. R1 stated she had trouble hearing the teller behind the thick glass and could not answer the questions correctly. R1 stated she told the teller to ask the questions to her POA. R1 stated the teller thought she didn't understand what was going on. R1 stated she has been with this credit union for over 40 years and things have changed. R1 stated she entered her password too many times and it blocked her out of her bank account. The bank told her she had to come in person to reset her password. R1 stated it was all a big misunderstanding and since her California Identification Card had expired she was unable to withdraw funds to pay her rent timely. R1 stated she had to wait for the CA ID to arrive in the mail to get funds to pay her rent. R1 stated it was her fault she let her CA ID expire and couldn't show proof of who she was to the teller. R1 stated there was no financial abuse. R1 stated the issue was resolved and she doesn't have any problems. LPA Bunker was unable to interview R3-R6. S1-S3 and R1-R3 all denied the allegation.
Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the 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 deemed unsubstantiated. There were no deficiencies cited. Exit interview conducted.
SUPERVISOR'S NAME: Stephanie CifuentesTELEPHONE: (661) 644-7743
LICENSING EVALUATOR NAME: Pamela BunkerTELEPHONE: (323) 213-1113
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2