331800083-8-25-2020-18-AS-KCLS-BSTPVH-20200825113907

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800083
Report Date: 08/25/2020
Date Signed: 08/25/2020 10:35:27 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/12/2020 and conducted by Evaluator Deborah Mullen

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200312141904

FACILITY NAME:	RENAISSANCE VILLAGE MURRIETA		FACILITY NUMBER:	331800083
ADMINISTRATOR:	BRIAN TAUBE		FACILITY TYPE:	740
ADDRESS:	24271 JACKSON AVENUE		TELEPHONE:	(951) 319-8243
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	166	CENSUS: 69	DATE:	08/25/2020
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Brian Taube, Executive Director		TIME COMPLETED:	08:30 AM

ALLEGATION(S):

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Staff stole credit card information from resident
Facility did not follow Theft and Loss Policy

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Deborah Mullen contacted Brian Taube, Executive Director (ED) to issue the findings of the above allegations. LPA contacted Mr. Taube by telephone due to COVID 19 restrictions. During the investigation staff and an additional witness were interviewed. Resident 1 (R1) was not able to be interviewed as passed away prior to the initiation of the investigation.

The first allegation stated staff stole the credit card information from R1. The witness interview provided confirmation that the credit card was not stolen and used by facility staff. Per the witness the credit card company obtained the name of the individual who made the purchases. This provided confirmation that the individual was not an employee of the facility but was a third-party caregiver hired by the family to assist the resident.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2020

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 18-AS-20200312141904

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RENAISSANCE VILLAGE MURRIETA	FACILITY NUMBER: 331800083
	VISIT DATE: 08/25/2020

NARRATIVE

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The allegation stated the facility did not follow the Theft and Loss Policy. The Executive Director was interviewed and stated he attempted to file a report with law enforcement for the alleged fraudulent use of the credit card but was that since the resident was deceased, it would be up to the family to file a police report. Mr. Taube provided a copy of an email he sent to the resident’s family informing them of police departments response in his attempt to file a report. Mr. Taube advised the family to contact Murrieta Police Department to file the report on behalf of the deceased resident. These actions were in accordance with the facilities Theft and Loss Policy and with Title 22 regulations.

Therefore, this agency has investigated the allegations alleging facility staff stole resident credit card information and that the facility failed to follow the Theft and Loss Policy. We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted where the report was reviewed with Mr. Taube and emailed for his review and signature.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2020

LIC9099 (FAS) - (06/04)

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