565801215-9-18-2020-29-AS-JAPL-BTZ2PL-20201001173429

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565801215
Report Date: 09/18/2020
Date Signed: 09/18/2020 09:45:35 AM

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
09/02/2020 and conducted by Evaluator Ashley Smith

COMPLAINT CONTROL NUMBER: 29-AS-20200902140516

FACILITY NAME:	ANGELS II		FACILITY NUMBER:	565801215
ADMINISTRATOR:	JOANN TRUPIANO		FACILITY TYPE:	740
ADDRESS:	2375 MCDONALD COURT		TELEPHONE:	(805) 404-5201
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	6	CENSUS: 3	DATE:	09/18/2020
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Joann Trupiano		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Staff financially abused resident while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ashley Smith conducted a subsequent complaint visit to deliver findings. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s complaint investigation was conducted telephonically at 9am with Joann Trupiano. During the 9/10/2020 visit, the LPA interviewed the Administrator at 9:08am and requested additional documents.

Regarding the above allegation, the complainant alleged that staff were involved in financially abusing resident #1 (R1), which was perpetuated by R1's former POA. Interviews conducted and records review revealed that R1 stayed at this facility from 1/2018 up until 11/2018. Interviews conducted and records review demonstrated that R1 was only charged the facility basic rate, and additional/unexplained charges were not identified. Whereas it was discovered through a separate local law enforcement investigation that R1 was financially abused by R1's former POA, there is insufficient evidence to support the claim that staff were involved in the financial abuse of R1. This allegation is Unsubstantiated at this time. No deficiencies cited at this time. Exit interview conducted, a copy of the report was emailed for signature.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley Smith	TELEPHONE: (818) 421-9032
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

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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