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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880645
Report Date: 11/30/2022
Date Signed: 11/30/2022 11:33:54 AM

Unfounded


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
11/22/2022 and conducted by Evaluator Yolanda Delgado
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221122125317
FACILITY NAME:BELLA VILLAGGIOFACILITY NUMBER:
331880645
ADMINISTRATOR:JIM GERMYNFACILITY TYPE:
740
ADDRESS:40235 PORTOLA AVETELEPHONE:
(760) 607-5200
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:170CENSUS: 135DATE:
11/30/2022
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Eloiza Castellanos, Interim-AdministratorTIME COMPLETED:
11:35 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff solicited funds from residents for personal gain
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Yolanda Delgado arrived to the facility unannounced to conduct an investigation into the above allegation.

LPA spoke with Resident One (R1) and Staff One (S1)-Administrator determined through the interviews, the allegation was UNFOUNDED. R1 stated that this is soley done as voluteered by R1 and no staff of the facility is in charge. R1 has taken on the task and is responsible for raising funds and R1 stated this is the fourth year.

This agency has investigated the complaint alleging (Staff solicited funds from residents for personal gain). We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

There were no deficiencies and no civil penalties that were cited per Title 22, Division 6, of the California Code or Regulations.

An exit interview was conducted with Eloiza Castellanos and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Yolanda DelgadoTELEPHONE: (951) 203-2990
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
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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