Complaint Investigation Report

Divine Residential Home, Lake Elsinore06/30/2023Licence 331881149

Census4
Date signed06/30/2023 10:03:35 AM
The inspector’s account

331881149-6-30-2023-56-AS-KCLS-CTM3BR-20230710180646

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

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

03/25/2022 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20220325084430

Staff inappropriately handled resident causing injury.

Licensing Program Analysts (LPA)Bernadette Allen conducted an unannounced visit to the facility to deliver the findings on the allegation above. LPA met with facility staff Odiakachukwu Nwonye (Frank) Caregiver who was informed of the purpose of the visit.

The investigation consisted of interviews with (3) three clients, (2) two staff members, (3) three outside parties and records reviewed. Interviews were conducted with three clients who said the staff members have never handled them in an inappropriate manner. The interviews conducted with (2) two staff members both deny handling C1 or any of the clients in care roughly. There was no witness, or evidence to corroborate the mentioned allegation.

Based on the investigation, the above finding is Unsubstantiated. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report and appeal rights was discussed and provided to Odiakachukwu Nwonye (Frank) at the conclusion of the visit.

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