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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005362
Report Date: 05/16/2023
Date Signed: 05/16/2023 03:07:17 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, 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
01/17/2023 and conducted by Evaluator Celine DePerio
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230117155902
FACILITY NAME:LP CARE HOMEFACILITY NUMBER:
306005362
ADMINISTRATOR:TRAN, LINDAFACILITY TYPE:
735
ADDRESS:8791 MONTEREY CIRCLETELEPHONE:
(714) 622-5764
CITY:WESTMINSTERSTATE: CAZIP CODE:
92683
CAPACITY:6CENSUS: 5DATE:
05/16/2023
UNANNOUNCEDTIME BEGAN:
01:36 PM
MET WITH:House Manager - Marie Voelker TIME COMPLETED:
03:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility mishandled client's finances
Facility failed to retain proper record of client's funds
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Celine De Perio conducted a subsequent visit to the facility for the complaint received on 1/17/23. LPA De Perio explained the purpose of today's visit, was greeted and granted entry by House Manager (HM) Marie Voelker, who contacted administrator (AD) Phil Tran.

During this visit, LPA De Perio reviewed and obtained the following documents: P&I ledger for client 1 (C1) between the dates of August 2022-December 2022.

Based on the information provided, the findings issued on 4/27/23, remains to be UNSUBSTANTIATED.

An exit interview was conducted with HM Voelker and AD Tran via phone call. A copy of this report was provided and explained to the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
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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