Complaint Investigation Report

Scott Villa, Hayward05/10/2024Licence 019200750

Census33
Date signed05/10/2024 12:02:23 PM
The inspector’s account

019200750-5-10-2024-15-AS-BFOG-D5HTW9-20240522150509

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/09/2024 and conducted by Evaluator Alicia Delmundo

COMPLAINT CONTROL NUMBER: 15-AS-20240509141643

Facility staff failed to safeguard resident's (R1) personal belonging.

Licensing Program Analyst (LPA) Delmundo arrived unaanounced to investigate the above allegation. LPA met with Jonabelle Tolentino, administrator, and informed the reason for visit.

It was alleged that resident's (R1) roommate was wearing R1's jewelry and does not know if the jewelry was stolen or a coincidence that the roommate has it.

LPA interviewed R1 who stated the roommate was R1's roommate in the previous private residence where R1 left the jewelries. Based on information provided by R1 that the jewelries and roommate are not in the facility, which the Department does not have jurisdiction, the allegation is closed as unfounded. An unfounded finding means that the allegation is false, could not have happened, and/or is without a reasonable basis.

No deficiency cited. Exit interviewed conducted, and copy fof this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction