366425270-8-17-2022-56-AS-NBRN-CMRTBY-20230104133549

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366425270
Report Date: 08/17/2022
Date Signed: 08/17/2022 02:10:22 PM

Unfounded

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
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2022 and conducted by Evaluator Anna Bueno

COMPLAINT CONTROL NUMBER: 56-AS-20220808095722

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:	08/17/2022
		UNANNOUNCED	TIME BEGAN:	01:23 PM
MET WITH:	Cris Espiritu Santo, Administrator		TIME COMPLETED:	02:09 PM

ALLEGATION(S):

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Facility did not issue a 30 day notice

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to this facility to initiate the complaint investigation, review documents, and deliver findings on the allegation listed above. LPA met with administrator Cris Espiritu Santo who was informed the purpose of today’s visit.

LPA Bueno verified that the facility sent the Department a 30 day notice for Resident 1 (R1). The date on the eviction notice is 07/28/22 and it was received by the Department Regional Office on 08/02/22, prior to the complaint being filed.

This allegation is therefore UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with and a copy of this report was provided to administrator Espiritu Santo.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Anna Bueno	TELEPHONE: 951-204-4307
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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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