<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426054
Report Date: 09/29/2023
Date Signed: 09/29/2023 09:58:34 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
09/14/2022 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220914185645
FACILITY NAME:CALEO BAY ALZHEIMER'S SPECIAL CARE CENTERFACILITY NUMBER:
336426054
ADMINISTRATOR:WILKIN, RONDAFACILITY TYPE:
740
ADDRESS:47805 CALEO BAY DRIVETELEPHONE:
(760) 771-6100
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY:66CENSUS: 51DATE:
09/29/2023
UNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Executive Director, Maria ArriagaTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not safeguard resident's personal items
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/29/2023, Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to conduct further investigation into the above allegations. LPA met with Executive Director, Maria Arriaga, who was informed of the purpose of the visit.

Regarding “Staff did not safeguard resident's personal items”, it was alleged that the R1’s clothing was misplaced. LPA reviewed R1’s personal property form which stated “declined to file”. According to the admission agreement signed by R1, the facility waives responsibility if the resident uses the laundry equipment at the facility. According to staff and responsible party interviews, the resident was utilizing the facility laundry equipment at this time. Therefore, the allegation is unsubstantiated.

An exit interview was conducted with Executive Director, Maria Arriaga where this report was reviewed and provided to them.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023
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