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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604269
Report Date: 06/14/2022
Date Signed: 06/14/2022 03:07:07 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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/13/2022 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220613115856
FACILITY NAME:FELICITA VIDAFACILITY NUMBER:
374604269
ADMINISTRATOR:MALASPINA, KIMBERLYFACILITY TYPE:
740
ADDRESS:930 MONTICELLO DRIVETELEPHONE:
(760) 747-4888
CITY:ESCONDIDOSTATE: CAZIP CODE:
92029
CAPACITY:123CENSUS: 71DATE:
06/14/2022
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Kimberly Malaspina, Executive DirectorTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Staff confiscated a resident's cell phone while in care.
Residents are not afforded privacy while on the telephone.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence an investigation for the allegation(s) listed above. LPA George met with Kimberly Malaspina, Executive Director and explained the purpose of the visit and elements of the allegations.

This agency has investigated the complaint alleging "Staff confiscated a resident's cell phone while in care. LPA George conducted interviews which revealed Resident #1 (R1) POA requested for the facility staff to confiscate R1s cell phone as it causes R1 to become confused and frustrated as they do not know how to properly work the The cell phone has resulted in R1 displaying disruptive behaviors, such as phone calls at 3am, dialing of random numbers and even calling 9-1-1. Therefore the allegation is UNFOUNDED.




Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
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
Control Number 18-AS-20220613115856
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: FELICITA VIDA
FACILITY NUMBER: 374604269
VISIT DATE: 06/14/2022
NARRATIVE
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Allegation: Residents are not afforded privacy while on the telephone.

LPA George conducted interviews which revealed R1s POA requested for the facility staff to supervise R1s calls with a particular identified contact. The identified contact has recently come to the facility and has reportedly displayed concerning behavior such as showing the memory care residents the exits in the unit. The directive given was to disconnect the phone call once the identified contact begins to discuss certain subjects such as escaping and an open law suit as it has been deemed inappropriate and upsetting to R1. Therefore, we have found that the allegation of Residents are not afforded privacy while on the telephone was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted, and a copy of this report was provided to Kimberly Malaspina, Executive Director.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2