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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426277
Report Date: 02/22/2023
Date Signed: 02/22/2023 05:27:41 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
06/16/2021 and conducted by Evaluator Amy Goldenberg
COMPLAINT CONTROL NUMBER: 18-AS-20210616160652
FACILITY NAME:BLISSFUL CANYON HOMECAREFACILITY NUMBER:
336426277
ADMINISTRATOR:ROSALINDA ORLEANSFACILITY TYPE:
740
ADDRESS:1770 CENTURY AVE.TELEPHONE:
(951) 789-0170
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:6CENSUS: 4DATE:
02/22/2023
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Rosalinda Orleans, TIME COMPLETED:
05:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents are not able to communicate with staff due to a language barrier.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This unannounced visit by Amy Goldenberg, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation into the complaint allegation mentioned above. During this visit LPA spoke with the administrator, one (1) caregiver, and two (2) of four (4) residents in the home. It is alleged that staff do not speak English and therefore are not able to communicate with the residents. Investigation revealed the following: Two (2) of two (2) residents interviewed deny there is a language barrier and report that they are able to communicate with staff. Two (2) of Two (2) facility staff interviewed speak English and deny any language barrier. We have found the complaint allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy GoldenbergTELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023
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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