366425270-6-30-2020-18-AS-JESL-BSETNP-20200812145304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366425270
Report Date: 06/30/2020
Date Signed: 06/30/2020 01:58:02 PM

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
05/22/2020 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200522101420

FACILITY NAME:	ABRIA DEL CIELO		FACILITY NUMBER:	366425270
ADMINISTRATOR:	CRISELDA ESPIRITU SANTO		FACILITY TYPE:	740
ADDRESS:	1589 N. WATERMAN AVE		TELEPHONE:	(909) 884-4757
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92404
CAPACITY:	240	CENSUS: 143	DATE:	06/30/2020
		UNANNOUNCED	TIME BEGAN:	09:47 AM
MET WITH:	MaCriselda Espiritu Santo-Administrator		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility staff mismanaging resident's funds.

Facility staff withholding resident's mail.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javina George called the facility for the purpose of delivering findings for the above allegation(s). LPA George met with Administrator MaCriselda Espritu Santo and advised the purpose of visit. Below is a summary of the findings of the investigation:
The above complaint was investigated by the department. The investigation consisted of interviews of staff members, and residents. As well as obtaining documentation that includes: a review of the facility's complaint history, SIRs, policies and procedures regarding mail, and policies regarding the resident’s and their cash resources.

Based on a review of information gathered from documentation, and reviewing the admission agreements, Record of client/residents safeguarded cash resources and conducted interviews. LPA George was unable to corroborate the allegation(s).

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2020

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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Control Number 18-AS-20200522101420

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: ABRIA DEL CIELO	FACILITY NUMBER: 366425270
	VISIT DATE: 06/30/2020

NARRATIVE

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Documentation reviewed supported the residents need for residents to have assistance with their money. Interviews provided consistent information about the facility and following the stated mail and cash handling procedures.

The above allegation of Facility staff mismanaging resident's funds is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time.

Interviews provided consistent information about the facility and following the stated mail procedure the allegation of Facility staff withholding resident's mail. The above allegation of is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time.

An exit interview was conducted and a copy of the 9099, 9099C was provided to Administrator MaCriselda Espiritu-Santo.

SUPERVISOR'S NAME: Joel Esquivel	TELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina George	TELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2020

LIC9099 (FAS) - (06/04)

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