Senior Care Records.

Complaint Investigation Report

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

Census2
Date signed06/28/2023 05:27:34 PM
The inspector’s account

306006068-6-28-2023-22-AS-SSAS-CTU3JW-20230717181809

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

Administrator failed to report verbal abuse.

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 were conducted with witnesses who strongly denied the complaint allegation.

Based on the information gathered during the investigation, conflicting information provided during interviews, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

An exit interview was conducted, and a copy of this report was provided.

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