Senior Care Records.

Complaint Investigation Report

Bella Clare Home 2, Buena Park06/28/2023Licence 306006068

Census2
Date signed06/28/2023 05:27:15 PM
The inspector’s account

306006068-6-28-2023-22-AS-SSAS-CTU3JV-20230717181808

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

06/28/2023 and conducted by Evaluator Jerome Haley

COMPLAINT CONTROL NUMBER: 22-AS-20230628094002

Staff verbally abused and intimidated client.

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit in regards to the complaint allegation above. Upon arrival staff called Administrator (AD) Joshua Estrevillo via telephone who arrived a short time later and was present for the visit. LPA Haley discussed the reason for the visit with AD Estrevillo.

During the visit, LPA Haley interviewed AD Estrevillo, Staff 1(S1), and attempted interviews with client 1 (C1), and client 2 (C2) regarding the complaint allegation. During the investigation, interviews confirmed S1 was heard on the audio recording provided to the department.

Based on the evidence gathered through interviews and review of the audio provided, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6, Chapter 1.

An exit interview was conducted and a copy of this report and appeal rights were provided.

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