336426731-12-9-2021-18-AS-KCLS-C9SPXH-20211217104219

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336426731
Report Date: 03/04/2021
Date Signed: 12/09/2021 02:30:27 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
02/23/2021 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210223151745

FACILITY NAME:	BRILLIANCE PLACE		FACILITY NUMBER:	336426731
ADMINISTRATOR:	MANALANSAN, SUZETTE		FACILITY TYPE:	735
ADDRESS:	1947 BRILLIANCE LANE		TELEPHONE:	(951) 294-0356
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92582
CAPACITY:	6	CENSUS: 3	DATE:	03/04/2021
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Riza Javier		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff is not allowing resident to receive phone calls.

Staff confiscated resident's personal item.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javier Prieto conducted a complaint investigation alleging staff not allowing resident to receive phone calls and staff confiscated resident's personal item. Due to COVID 19 and social distancing the complaint was conducted, via telephone. LPA Prieto spoke with administrator Suzette Manalansan who states resident #1 (R1), has a personal cell phone that R1 is allowed to use while at the facility. Interview with R1 states calls are made and received from facility phone and R1's personal cell phone from outside parties without restrictions or interference from facility staff. The allegation that staff confiscated resident's personal item, is related to R1's cell phone. R1 states that facility staff does not confiscate the personal cell phone and continues to have cell phone in R1's procession.
Based on the information obtained there is not enough evidence that staff is not allowing resident to receive phone calls and staff confiscated resident's personal item. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. 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, therefore the allegation is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

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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