Complaint Investigation Report

421703549-2-13-2026-29-AS-KBUY-DRPVAN-20260227151612

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

02/09/2026 and conducted by Evaluator Kristin Kontilis

COMPLAINT CONTROL NUMBER: 29-AS-20260209115957

DEVEREUX FOUNDATION - WEISMAN CENTER (RCFE)

Monica Gomez, Clinical Case Manager, Sydney Steiner, Program Manager, and Jennifer Farley, Program Director

Staff did not follow reporting requirements.

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced 10-day complaint investigation based on the above stated allegations. Adela Cortinas, Quality Assurance Specialist, Tri-Counties Regional Center accompanied LPA in the visit. LPA met with Monica Gomez, Clinical Case Manager and Sydney Steiner, Program Manager, Weisman Center. Jennifer Farley, Program Director participated in the visit via Teams.

During the visit, LPA obtained various documents pertinent to the investigation and conducted interviews from from 11:50 am – 3:30 pm.

On the allegation: Staff did not follow reporting requirements: On 11/17/2025, CCLD received an incident report and SOC341 Report of Suspected Dependent Adult/Elder Abuse self-reporting an incident that occurred on 11/14/2025. The report received was in full detail per CCR regulations and therefore, Unsubstnaited at this time.

Exit interview conducted. No deficiencies issued. Copy of report issued at the time of the visit.