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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421703635
Report Date: 06/14/2022
Date Signed: 06/14/2022 04:45:54 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2021 and conducted by Evaluator Kristin Kontilis
COMPLAINT CONTROL NUMBER: 29-AS-20210512161656
FACILITY NAME:DANELLE'S GUEST HOME IFACILITY NUMBER:
421703635
ADMINISTRATOR:COMETA, NONAFACILITY TYPE:
740
ADDRESS:4866 FRANCES STTELEPHONE:
(805) 967-5237
CITY:SANTA BARBARASTATE: CAZIP CODE:
93111
CAPACITY:6CENSUS: 4DATE:
06/14/2022
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Nona Cometa, AdministratorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Resident is not allowed to have visitors at the facility.
Resident is being financially abused while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced subsequent complaint investigation regarding the allegations stated above. LPA Kontilis met with Nona Cometa, Administrator.
Entrance interview conducted.
During the investigation, LPA interviewed witnesses on 5/13/2021 and 5/14/2021; LPA interviewed Resident 1 (R1) on 5/14/2021 and 7/22/2021; and Administrator Cometa, Staff 2 (S2), and Staff 3 (S3) on 5/14/2021, 7/22/2021, and 6/14/2022.
On the allegation that Resident is not allowed to have visitors at the facility, Administrator Cometa and staff interviewed revealed that Resident 1 (R1) spoke occasionally via Facetime with previous associates, friends, and business contacts. S1 and S2 stated R1 frequently walked to local businesses within one-quarter of a mile from the facility. Based on interviews conducted, the allegation that Resident is not allowed to have visitors at the facility is Unsubstantiated at this time.
Please continue to 9099-C, Pg 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kelly BurleyTELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin KontilisTELEPHONE: (805) 689-2787
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 29-AS-20210512161656
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: DANELLE'S GUEST HOME I
FACILITY NUMBER: 421703635
VISIT DATE: 06/14/2022
NARRATIVE
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 On the allegation that resident is being financially abused while in care, Administrator Cometa stated R1 knew how to safeguard their money and belongings. Administrator stated about two years ago (prior to the pandemic) R1 took a trip to R1’s home country as a vacation. While in the home country, R1 opened an account in that country. Upon R1’s return to the U.S., R1 arranged for R1’s pension to be deposited directly into R1’s home country account. Administrator further stated that R1 was cautious about money transactions including any change amounts to be returned. Based on interviews conducted, the allegation that Resident is being financially abused is Unsubstantiated at this time.

Exit interview conducted. Report issued via email.
SUPERVISOR'S NAME: Kelly BurleyTELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin KontilisTELEPHONE: (805) 689-2787
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