306004555-7-18-2023-22-AS-ANAI-CUAMHC-20230801093717

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004555
Report Date: 07/18/2023
Date Signed: 07/18/2023 10:11:43 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/29/2023 and conducted by Evaluator Jennifer Walden

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230629135118

FACILITY NAME:	CAPRIANA		FACILITY NUMBER:	306004555
ADMINISTRATOR:	TONYA REYNOLDS		FACILITY TYPE:	741
ADDRESS:	460 LA FLORESTA DR		TELEPHONE:	(714) 589-2866
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	0	CENSUS:	DATE:	07/18/2023
		UNANNOUNCED	TIME BEGAN:	09:43 AM
MET WITH:	Tonya Reynolds		TIME COMPLETED:	09:44 AM

ALLEGATION(S):

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Facility did not submit a Annual Report as required.

INVESTIGATION FINDINGS:

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Complainant alleges that the Provider is in violation of Health & Safety Code (H&SC) §1771.8(g) which states that “A provider shall, within 10 days after the annual report … provide, at a central and conspicuous location in the community and in a conspicuous location on the provider's Internet Web site, a copy of the annual report…”

The Continuing Care Contract Bureau (CCCB) reviewed its records and received an email communication from Provider on May 30, 2023, notifying the department that the annual report would be delayed with the anticipated date of June 30, 2023, as the completion date. On July 3, 2023, Provider emailed again stating that there will be a further delay in submitting the annual report. CCCB advised the provider that a late fee of $1,000 would be imposed pursuant to H&SC 1790(a)(6)(b). In addition, if the reports are submitted after July 31st, there will be an additional $33/day fine imposed until submission and this is on a community basis.

The Provider has not yet submitted their 2022 annual report as required by H&SC §1790(a), so there is no report at this time to provide at the community or on the Provider’s webpage. Therefore, the Department finds the allegation “unsubstantiated”. The Provider has been reminded of the requirements of H&SC §1771.8(g) once the 2022 annual report is submitted to CCCB.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Allison Nakatomi	TELEPHONE: (916) 531-5336
LICENSING EVALUATOR NAME: Jennifer Walden	TELEPHONE: (916) 651-8148
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023

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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