306004456-10-20-2023-28-AS-LHIS-CWXL4P-20231025082548

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004456
Report Date: 10/20/2023
Date Signed: 10/20/2023 03:30:39 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
09/11/2023 and conducted by Evaluator Angelica Rea

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230911111826

FACILITY NAME:	VILLA LUREN		FACILITY NUMBER:	306004456
ADMINISTRATOR:	BRIAN BUENVIAJE		FACILITY TYPE:	735
ADDRESS:	13749 E. CREWE STREET		TELEPHONE:	(562) 941-3813
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90605
CAPACITY:	62	CENSUS: 58	DATE:	10/20/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Brian Buenviaje		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff mismanaged residents’ personal funds.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Angelica Rea conducted another visit to deliver the final results of the investigation. LPA met with Administrator, Brian Buenviaje who assisted with today's visit.

Regarding the allegation that staff mismanaged resident #1's personal funds, the investigation consisted of interviews with Administrator, Resident #1's case worker, and Resident #1 - Resident # 6, and review of resident #1's file, including record of resident's safeguarded cash resources, and copies of checks received by facility. LPA also interviewed Resident #1's current facility administrator.

The investigation revealed that resident #1 resided at the facility from September 2022 - April 2023. Administrator stated that resident #1 was under conservatorship with the Office of the Public Guardian, however the conservatorship was terminated on 12/1/22. LPA reviewed copy of termination letter from Office of the Public Guardian dated 12/19/22. Administrator stated that representative payee documents for resident #1 were submitted to the social security office, however there was a delay in processing the change.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20230911111826

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: VILLA LUREN	FACILITY NUMBER: 306004456
	VISIT DATE: 10/20/2023

NARRATIVE

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LPA observed copy of letter from Social security office dated 12/9/22, indicating that the facility had submitted a request to be the representative payee for Resident #1. Per Administrator, the facility did not receive a payment for Resident #1 for approximately 3 months during the period of January - March 2023. According to the Administrator, the facility eventually received a lump sum check for the period of January - March 2023 in the amount of $1874.46, which did not include resident #1's P & I money. LPA reviewed copies of checks received by facility, and observed that the facility received less than the amount that was owed during the time that resident #1 resided at the facility. Facility P & I records for Resident #1, indicate that resident #1 received $668.00 in P & I money during the month of March 2023. Administrator stated that the facility received a check for May 2023 and June 2023, which were not cashed by the facility because Resident #1 moved on 4/30/23.

Residents interviewed were unable to corroborate the allegation. Five out of six residents interviewed stated that the staff are not mismanaging their personal funds. Resident #1 was unable to provide information regarding the amount that he believes is owed to him.

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.

Exit interview was conducted with Assistant Administrator, Gloria Gibson. Copy of report was provided.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023

LIC9099 (FAS) - (06/04)

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