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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604269
Report Date: 06/16/2022
Date Signed: 06/16/2022 10:34:19 AM

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
06/15/2022 and conducted by Evaluator Javina George
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220615121652
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: 79DATE:
06/16/2022
UNANNOUNCEDTIME BEGAN:
09:06 AM
MET WITH:Kimberly Maslaspina, Executive DirectorTIME COMPLETED:
10:40 AM
ALLEGATION(S):
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Facility not allowing resident to have visitors.
Facility not allowing resident to make phone calls.
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 "Facility not allowing resident to have visitors LPA George conducted interviews which revealed Resident #1 (R1) POA requested for the facility staff to hold visitation until further notice. The directive was given due to a recent visit on 6/12/22 with an identified contact that was observed to be displaying concerning behavior with R1, with showing R1 the exits in the facility. 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: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
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-20220615121652
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: 06/16/2022
NARRATIVE
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Allegation: Facility not allowing resident to make phone calls.

LPA George conducted interviews which revealed R1s POA requested for the facility staff to not allow R1 to make or receive phone 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 exits in the facility. R1 was also upset after the visit that occurred on 6/12/22. R1 was observed to be still be visibly upset from a phone call that occurred on 6/15/22, with the identified contact. It was reported that during this phone call R1 was informed about issues with their POA and the identified contact. R1 was making statements that the facility was going to be sued as well as the facility staff observed R1 being coached on what to say if they were contacted by the department.

Therefore, we have found that the allegation of Facility not allowing resident to make phone calls. 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: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2