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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336405788
Report Date: 08/23/2022
Date Signed: 08/23/2022 05:17:31 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, 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
08/19/2022 and conducted by Evaluator Crystal Colvin
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220819153930
FACILITY NAME:CHICAGO HOPE ASSISTED LIVINGFACILITY NUMBER:
336405788
ADMINISTRATOR:KAREN COCCHIAROFACILITY TYPE:
740
ADDRESS:25858 NEW CHICAGOTELEPHONE:
(951) 663-8514
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:6CENSUS: 6DATE:
08/23/2022
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Deanna Maegillivary - CaregiverTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff requested money from resident.

Staff harassed resident.
INVESTIGATION FINDINGS:
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On today's date, Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of initiating an investigation with the above allegation. LPA Colvin met with caregiver Deanna Maegillivary and informed her of the purpose of today's inspection. LPA Colvin additionally interviewed Licensee/Administrator Karen Cocchiaro via telephone. Below is a summary of the findings of the investigation:

Regarding allegation "Staff requested money from resident": LPA Colvin conducted interviews with witnesses and parties relevant to the allegation. Interviews conducted revealed conflicting statements regarding the conversations that were had with resident (R1) regarding money due to August rent & care. Licensee/Adminstrator and staff both denied staff requesting money from R1, though staff did accept the checks provided by R1 for the Licensee/Administrator, as they were not present at the time. LPA Colvin is unable to confirm if staff requested money from resident, due to equal amount of interviews in support of and against allegation. Due to conflciting statements and lack of evidence, the allegation "Staff requested money from resident." is UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20220819153930
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: CHICAGO HOPE ASSISTED LIVING
FACILITY NUMBER: 336405788
VISIT DATE: 08/23/2022
NARRATIVE
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Regarding allegation "Staff harassed resident.": LPA Colvin conducted interviews with parties relevant to allegation. Interviews conducted by LPA Colvin are conflicting and there is not enough evidence to support the claim that staff harassed R1. Due to lack of additional witnesses to interview and other potential evidence, the allegation "Staff harassed resident." is UNSUBSTANTIATED.

A finding of UNSUBSTANTIATED means 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.

An exit interview was conducted with caregiver Deanna Maegillivary and a copy of this report was provided.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Crystal ColvinTELEPHONE: (951) 204-0848
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2