336424584-1-26-2022-18-AS-DMUN-CJJ3PD-20220922182522

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336424584
Report Date: 01/26/2022
Date Signed: 01/26/2022 11:01:28 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, 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
01/18/2022 and conducted by Evaluator Stephanie Torres

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220118094112

FACILITY NAME:	BLESSED ELDER CARE, INC.		FACILITY NUMBER:	336424584
ADMINISTRATOR:	CASANDRA GURAU		FACILITY TYPE:	740
ADDRESS:	5041 SIERRA ST.		TELEPHONE:	(951) 588-6533
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	12	CENSUS: 12	DATE:	01/26/2022
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	John Gurau, Administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility staff yell at residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Stephanie Torres, conducted an unannounced visit to the facility to initiate the investigation into the above allegation. The LPA met with Administrator, John Gurau, and informed him of the purpose of the visit.

One this visit the LPA conducted interviews, reviewed records and obtained copies of pertinent documentation. Pertaining to the allegation, “Facility staff yell at residents," it was alleged Staff One (S1) yells at residents in care. Staff, resident and third-party interviews were conducted; of the seven (7) interviews conducted, no reports were received to corroborate the allegation. Gurau was interviewed and denied the allegation. Therefore, due to a lack of information, this allegation is deemed UNSUBSTANTIATED at this time. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation occurred.

This report was reviewed with Gurau and a copy was provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Stephanie Torres	TELEPHONE: (951) 204-5924
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2022

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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