019200446-6-28-2024-15-AS-BFOG-D7GUAQ-20240724152508

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200446
Report Date: 06/28/2024
Date Signed: 06/28/2024 03:59:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/21/2022 and conducted by Evaluator Alicia Delmundo

COMPLAINT CONTROL NUMBER: 15-AS-20220321081012

FACILITY NAME:	BRIDGES		FACILITY NUMBER:	019200446
ADMINISTRATOR:	SOKODOLO, KOLU G.		FACILITY TYPE:	735
ADDRESS:	21259 BIRCH ROAD		TELEPHONE:	(510) 244-7153
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94541
CAPACITY:	4	CENSUS: 0	DATE:	06/28/2024
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Ebony Omelagah/Licensee and Lorenzo Pennix/Regional Director		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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-Staff physically abused residents.
-Staff did not treat residents with dignity.
-Facility was out of ratio.
-Residents served expired food.
-Staff threatened residents.
-Staff records were falsified.
-Staff opened resident's confidential mail.

INVESTIGATION FINDINGS:

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On this day, June 28, 2024. Licensing Program Analyst (LPA) Delmundo arrived unannounced to deliver the findings for the above allegations. LPA met with Ebony Omelagah, licensee, and Regional Director (RD) Lorenzo Pennix, and informed the reason for visit.

During the course of investigation, LPA obtained copies of the following: LIC500 Personnel Report; staff schedule; staff’s contact information; staffing ratio; residents' LIC602 Physician's Report and Individual Program Plan. LPA reviewed residents’ records and conducted inspection on 3/29/22. LPA interviewed the following: residents (R1.R2, R3 and R4) on 3/29/22; staff (S1, S2, S3,S4, S7, administrator and Regional Director) on 3/29/22. 7/12/22, 6/24/24 and 6/25/24. LPA also reached out to Regional Center of East Bay (RCEB) for staffing ratio information on 3/30/22. 4/01/22 and 4/07/22.

.....continued on 9099C (page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20220321081012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BRIDGES	FACILITY NUMBER: 019200446
	VISIT DATE: 06/28/2024

NARRATIVE

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Page 2

Allegation: staff physically abused residents
It was alleged that staff physically abused residents.

R1 stated S1 had physical fight with R2 and had confrontation with R3. R2 stated he was slapped one time by S1 when he flailed his hands and S7 pushed a chair on his stomach. R3 stated S1 hit him a few times but was not able to provide additional information. R4 stated the staff treated him good and didn’t observe any staff physically abused other residents.

Staff (S2, S3, S4) stated not observing the incident nor observed other staff physically abused any residents. The administrator stated she didn’t have any knowledge, nor an abuse reported to her, otherwise she will report. S7 confirmed an incident happened and that R2 became verbally aggressive and S1 redirected R2, and he (S7) calmed the situation. S7 denied pushing a chair to R2 and stated the incident happened in the kitchen where there’s no chair. S1 confirmed the incident when R1 refused to do chores, became aggressive, and came towards him so he and S7 performed Crisis Prevention Intervention (CPI).

Allegation: Staff did not treat residents with dignity.
R1 stated S1 was rude, disrespectful, and put residents down by saying inappropriate words. R2 stated S1 yelled at him while R4 stated staff were good and didn’t observe staff mistreating other residents. LPA was unable to obtain information from R3.

S1 denied the allegation. The other 4 staff interviewed stated not observing S1 not treating residents with respect and dignity, and denied the allegation.

Allegation: Facility was out of ratio.
LPA obtained information from RCEB on 4/07/22 and confirmed the facility was meeting and even exceeding the staffing hours/ratio. On 7/12/22, the administrator stated staff quit, and she and the Regional Director (RD) were covering the staffing needs until they completed the hiring for a.m. shift. LPA confirmed with the RD that 3 staff quit and provided short notice. At the time of interview, RD also stated the facility was in the process of hiring.

....continued on 9099C (page 3)

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 15-AS-20220321081012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: BRIDGES	FACILITY NUMBER: 019200446
	VISIT DATE: 06/28/2024

NARRATIVE

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Allegation: Residents served expired food.
R1 stated observing expired ham and was served to the residents. Staff (S4) stated S1 tried to have her served the expired ham to the residents but didn't serve it. The picture of the ham was obtained by LPA which was observed 3 months passed the ‘best by date’ on the label. The administrator stated that S4 reported to her about the expired ham and that she instructed the staff not to serve it and it was thrown away. S1 stated the ham was taken out from the freezer and was not served. The other staff interviewed stated not observing nor serving expired food to residents. LPA didn’t observe expired food during inspection.

Allegation: Staff threatened residents.
R1 stated he was threatened by (S1) but S1 denied the allegation. The other 4 staff stated not observing S1 threatened any residents. The other 2 residents stated staff didn’t threaten them, LPA was not able to obtain information from one of the residents.

Allegation: Staff records are falsified.
R1 stated the administrator had been covering for S1 and been fixing S1's time sheet because S1 was doing the administrator a favor of doing the training of the staff. The administrator and S1 denied the allegation. The administrator stated there’s time when she called S1 and asked to pick-up the residents medications and S1 will come in late and R1 questioned why S1 was late. The administrator stated she and the facility’s in-house behaviorist conduct training, S3 stated the administrator conducted the training and S1, a lead staff, had him read the ISP goals. S4 stated S1 trained her only on House Rules.

Allegation: Staff opened resident's confidential mail.
R1 stated S1 opened his confidential mail. R2 stated his mail was never opened by staff. R4 stated not observing staff opening residents’ mail. LPA was not able to obtain information from R3. S4 stated observing R1’s mail from the church opened. S1 admitted opening R1’s mail by mistake and apologized to R1. The administrator stated facility and residents mail come together and confirmed S1 opened R1’s mail by mistake, and S1 apologized to R1.

Based on all information gathered, the allegations are closed as unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiency cited. Exit interview conducted and copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC9099 (FAS) - (06/04)

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