Senior Care Records.

Complaint Investigation Report

Chloie's Cottage II, San Dimas08/19/2025Licence 197608221

Census5
Date signed08/19/2025 10:50:50 AM
Name of licensing program analystAlberto Lopez
Name of licensing program managerLisa Hicks
The inspector’s account

197608221-8-19-2025-28-AS-LHIS-DKRTTZ-20250821150132

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

GREATER LA AC/SC , 1000 CORPORATE CNTR DR. ST 500

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

08/12/2025 and conducted by Evaluator Alberto Lopez

COMPLAINT CONTROL NUMBER: 28-AS-20250812143657

Licensing Program Manager (LPA), Alberto Lopez made an unannounced visit to investigate the above allegations. LPA met with House Manager Eva Tancinco and discussed the purpose of the visit.

The investigation consisted of LPA obtaining and reviewing staff and resident rosters. LPA interviewed two (2) staff (S#1-S#2) LPA noticed that R1 was not on roster and S1 stated that R1 lives at Chloie's Cottage and not this facility. LPA took a tour of the facility and did not observe any health or safety risks.

The investigation revealed that the allegation could not have happened at this home as R1 does not reside at this home and has not lived at this address at least since S1 has worked at this address since 01/2025. LPA identified all 5 residents at home and R1 was not at living/present at facility during the visit.

The above allegations are UNFOUNDED. A finding of UNFOUNDED means that the allegation is either false, could not have happened, and/or is without a reasonable basis. Therefore, we have dismissed the complaint. Exit interview conducted with House Manger Eva Tancinco and a copy of this report was provided.

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