374601005-4-5-2023-08-AS-LTEZ-CQTRTG-20230412131818

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601005
Report Date: 04/05/2023
Date Signed: 04/05/2023 02:45:43 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/30/2023 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20230330131740

FACILITY NAME:	VETERANS HOME CHULA VISTA		FACILITY NUMBER:	374601005
ADMINISTRATOR:	ZUNIGA, BELLA		FACILITY TYPE:	740
ADDRESS:	700 EAST NAPLES COURT		TELEPHONE:	(619) 205-1150
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY:	55	CENSUS: 23	DATE:	04/05/2023
		UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Standards Compliance Coordinator, Jacquelyn Bond		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Conduct inimical

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegation mentioned above with Administrator, Bella Zuniga and Standards Compliance Coordinator, Jacquelyn Bond.

During today's visit, LPA briefly toured the facility, requested records, and interviewed staff. It was alleged conduct inimical was occurring at the facility due to the facility allowing Staff #1 (S1) to work at the facility with a known elder abuse case. On 02/27/23, the San Diego City Attorney’s Office released a statement indicating S1 pleaded guilty to two misdemeanor counts of elder abuse and operating an unlicensed care facility. Standards Compliance Coordinator explained S1 never worked in their Assisted Living portion of the facility. S1 only worked in their Skilled Nursing Facility (SNF). A review of facility records indicated S1 was on the schedule at the SNF. S1's last day worked at the SNF was 12/19/22. Administrator confirmed S1 was never employed at the Residential Care Facility for the Elderly. Based on interviews, this agency has investigated the complaint alleging conduct inimical. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Standards Compliance Coordinator, Jacquelyn Bond whose signature below confirms receipt of these rights.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

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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