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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426771
Report Date: 12/22/2021
Date Signed: 07/27/2023 11:54:58 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
12/21/2021 and conducted by Evaluator Amy Goldenberg
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20211221124349
FACILITY NAME:ACCURO HOMESFACILITY NUMBER:
336426771
ADMINISTRATOR:LESLEY VANNOYFACILITY TYPE:
740
ADDRESS:6764 BLACK FOREST DRIVETELEPHONE:
(951) 415-0647
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 6DATE:
12/22/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lesley Vannoy, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Staff do not wear masks
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA),
is to initiate the 10 day investigation into the above mentioned complaint allegation. LPA discussed the elements of the alleged violations with Lesley Vannoy, Administrator. During this visit LPA interviewed three staff and made observations of the allegation that staff do not wear masks. LPA observed that staff are wearing masks during this visit. Interviews revealed awareness of staff requirement to wear masks by three (3) of three (3) staff interviewed. All staff report wearing masks while providing care to residents in the facility. Three (3) of four (4) residents interviewed are able to report that staff wear masks. 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: 60
SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 248-0339
LICENSING EVALUATOR NAME: Amy GoldenbergTELEPHONE: (951) 248-0351
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
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
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
12/21/2021 and conducted by Evaluator Amy Goldenberg
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20211221124349

FACILITY NAME:ACCURO HOMESFACILITY NUMBER:
336426771
ADMINISTRATOR:LESLEY VANNOYFACILITY TYPE:
740
ADDRESS:6764 BLACK FOREST DRIVETELEPHONE:
(951) 415-0647
CITY:EASTVALESTATE: CAZIP CODE:
92880
CAPACITY:6CENSUS: 6DATE:
12/22/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Lesley Vannoy, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
-Staff speaks inappropriately to authorized representative in the presence of resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA),
is to initiate the 10 day investigation into the above mentioned complaint allegations. LPA discussed the elements of the alleged violations with Lesley Vannoy, Administrator.

During this visit LPA interviewed three (3) staff and interviewed four (4) residents. It is alleged that staff speaks rudely to R1's family in the presence of R1. Two (2) of Two (2) staff deny the allegation happened as reported. Four (4) of four (4) residents interviewed refute the allegation that staff speak inappropriately to authorized representative of R1.

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: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2