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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604447
Report Date: 09/16/2022
Date Signed: 09/16/2022 04:34:25 PM

Unsubstantiated


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
02/01/2022 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20220201084959
FACILITY NAME:CASA DE ORO RESIDENTIAL CAREFACILITY NUMBER:
374604447
ADMINISTRATOR:BAILEY, CHARITYFACILITY TYPE:
735
ADDRESS:3602 S CORDOBA AVENUETELEPHONE:
(619) 303-3717
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:26CENSUS: 24DATE:
09/16/2022
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Alma Torres, CaregiverTIME COMPLETED:
12:01 PM
ALLEGATION(S):
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Facility staff provided client with illegal drugs
Facility staff financially abused client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Alma Torres, Caregiver to discuss the purpose of the visit.

LPA’s visit consisted of delivering findings on the above-mentioned allegations.

LPA conducted the initial investigation visit on February 7, 2022, and was able to interview clients, facility staff, and outside sources. LPA also reviewed records and conducted a physical inspection of the facility. It was alleged that facility staff provided client with illegal drugs. Interviews revealed that Client 1 (C1) denied getting drugs from staff after being interviewed. C1 responsible party does not allow C1 to have and manage money and will search C1’s room and clothing at each visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
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 08-AS-20220201084959
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: CASA DE ORO RESIDENTIAL CARE
FACILITY NUMBER: 374604447
VISIT DATE: 09/16/2022
NARRATIVE
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Interviews with outside sources are highly skeptical of the allegation and attributes the allegation disclosure to C1’s mental health. Interviews revealed C1’s responsible party has never discovered any drugs or drug paraphernalia in C1’s clothing or their portion of their room.

It was alleged that facility staff financially abused client. Interviews revealed that C1 is not responsible for their own money. Interviews and documentation also revealed that C1 is not able to handle their own cash resources. Interviews and observation show that C1s family member is the responsible party when it comes to C1’s finances. Interviews revealed that the facility did not hold any Personal and Incidental monies for C1.

The investigation did not produce supporting evidence or supporting witness statements to substantiate facility staff provided client with illegal drugs and facility staff financially abused client. Based on the evidence obtained from interviews, and record review, the complaint allegations are found to be unsubstantiated; as there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted with Alma Torres, Caregiver and a copy of this report along with Licensee/Appeal Rights (LIC 9058 01/16) was provided at the conclusion of the visit

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2