079200627-4-9-2025-15-AS-HHUL-DFQN4Q-20250414100817

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200627
Report Date: 04/09/2025
Date Signed: 04/09/2025 12:17:06 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
10/09/2023 and conducted by Evaluator Alicia Delmundo

COMPLAINT CONTROL NUMBER: 15-AS-20231009165621

FACILITY NAME:	DINAMI HOME INC		FACILITY NUMBER:	079200627
ADMINISTRATOR:	RIDEOUT, TWYLA		FACILITY TYPE:	735
ADDRESS:	26 MURILLO COURT		TELEPHONE:	(510) 689-9552
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	6	CENSUS: 3	DATE:	04/09/2025
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Twyla Rideout/Administrator		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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-Questionable death.

-Facility did not notify resident's responsible party of resident's (R1) medical diagnosis.

-Facility did not seek medical attention in a timely manner for a resident (R1) in care.

-Facility encouraged resident (R1) to engage in habits that have a detrimental effect on resident's (R1) health.

INVESTIGATION FINDINGS:

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On this day, April 9, 2025 at 11:05 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to deliver the findings for the above allegations. LPA rang the doorbell; no answer. LPA called and spoke over the phone with Twyla Rideout, administrator (ADM), and informed the reason for visit. ADM arrived at around 11:40 am.

During the course of investigation, the Department obtained copies of residents’ following documents: Admission Agreement; LIC601 Identification and Emergency Contact Information; LIC602 Physician's Report; Individual Program Plan (IPP); Service Plan; doctor's order of medications; Medication Administration Record (MAR); LIC622 Centrally Stored Medication and Destruction Records; hospital After Visit Summary; Special Incident Reports; medical records. Local law enforcement was also involved, and copy of Police Report was also obtained by the Department. Staff (S1 and administrator (ADM)) were interviewed on 10/12/23 and 3/11/25, R3 on 3/11/25 and R1’s Regional Center of East Bay (RCEB) case manager (CM) on 4/03/25.
....continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025

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

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 15-AS-20231009165621

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: DINAMI HOME INC	FACILITY NUMBER: 079200627
	VISIT DATE: 04/09/2025

NARRATIVE

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Allegation: Questionable death.
Reporting party (RP) indicated that R1’s heart was steadily dying, and that the facility withheld the diagnosis of R1’s heart disease. RP further indicated that the facility’s neglect and maltreatment caused R1’s untimely death.

Review of R1’s LIC602 Physician’s Report and IPP didn’t indicate R1 had heart issue. R1 was seen by a medical provider on 02/2020 for annual physical examination and although, the After Visit Summary showed R1 had obstructive sleep apnea (OSA), it didn’t indicate R1 had heart problem. During examination, R1 was also counselled for tobacco use cessation.

S1, ADM and CM all stated that the heart problem was not on R1’s record. R3 stated the staff are good and R3 feels safe at the facility.

Police Report indicated that R1’s family member (FM2) indicated that R1 had sleep apnea and was given a CPAP machine, was broken and facility didn’t replace, but MAR showed the machine was used up to the time R1 was last sent out to the hospital prior to R1’s death.

Medical records showed R1 was admitted to a medical center on 02/15/2023 with a complaint of shortness of breath and lower extremities swelling. R1 was also at that time tested positive of Covid-19. R1 was noted with decompensated heart failure, continued to decline and on 3/05/23, was transferred to another medical center for advanced heart failure therapy evaluation. R1 was evaluated for transplant/left ventricular assist device (LVAD) but was deemed not a good candidate for LVAD due to several factors including medical barrier of obstructive pulmonary disease. R1 eventually passed away at the hospital on 04/2023.

Based on records review and interviews, the allegation is closed as unsubstantiated.

Allegation: Facility did not notify resident's responsible party of resident's (R1) medical diagnosis.
Although LIC601 showed FM1 as nearest relative and included as other person to be notified in the event of emergency, the RCEB was listed as responsible person for financial affairs, payment for care and legal guardian.

.....continued on 9099C

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 15-AS-20231009165621

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: DINAMI HOME INC	FACILITY NUMBER: 079200627
	VISIT DATE: 04/09/2025

NARRATIVE

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CM stated that R1 was unconserved and that RCEB was responsible for R1. CM further stated that the facility communicated the signing off of the POA by R1 prior to R1’s death but copy of the POA was never received nor provided by FM1 and/and FM2 to RCEB.

S1 and ADM stated R1 was not conserved. ADM stated that when R1 was at the hospital prior to R1’s death, she spoke with R1 who informed her that FM2 had documents which FM2 was having R1 sign them. The 2023 Medical records indicated that R1 didn’t seemed competent to make decisions and not sure if R1 was competent to sign the Durable Power of Attorney (DPOA) but it was available on R1’s chart and designated FM1 and FM2 to make decisions if R1 can’t.

IPP confirmed S1, ADM and CM’s statements that R1 was unconserved and that R1 chose not to have contact with FM2 as there were incidents in the past where FM2 had been overinvolved in R1’s life.

Based on information gathered and R1 already passed away when complaint was received, the allegation is closed as unsubstantiated.

Allegation: Facility did not seek medical attention in a timely manner for a resident (R1) in care.
FM1 and FM2 indicated they believe that for a period of years, the facility failed to timely obtain adequate medical treatment for R1’s heart condition, chronic obstructive pulmonary disease (COPD) and asthma.

S1, ADM and CM stated that the heart problem was not on R1’s record. ADM stated that sometime on 02/2023, R1 was sent out due to wheezing then went to see the primary care physician (pcp) for a follow-up after a week. S1 confirmed ADM’s statement and that he brought S1 to the pcp where R1 was tested positive of Covid-19. S1 stated the pcp sent R1 to the hospital. Medical records confirmed R1 was tested positive of Covid-19, COPD, OSA and that heart problem was noted on the time R1 was last seen at the hospital on 03/2023 prior to R1’s death on 04/2023.

Based on records review and interviews, the allegation is closed as unsubstantiated.

.....continued on 9099C

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Alicia Delmundo
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 15-AS-20231009165621

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: DINAMI HOME INC	FACILITY NUMBER: 079200627
	VISIT DATE: 04/09/2025

NARRATIVE

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Allegation: Facility encouraged resident to engage in habits that have a detrimental effect on resident's (R1) health.
It was alleged that ADM was allowing and encouraging R1 to drink alcohol and smoke marijuana daily.

ADM stated that residents are not allowed to drink alcohol and do drugs in the facility, but R1 drinks beer and will sign out and get together with his family but R1 never came back to the facility drunk.

S1 stated residents are not allowed to drink alcohol in the facility. They are allowed to smoke cigarettes in designated area outside the facility but not marijuana nor drugs. R1 drunk alcohol outside when he was with his friends and that it was R1’s choice, but ADM advised R1 not to drink alcohol and smoke.

R3 stated they (residents) are not allowed to drink alcohol and do marijuana or drugs inside the facility. R3 also stated seeing R1 went out in the park and drank alcohol and did marijuana.

House Rules confirmed the staff and R3’s statements that no alcoholic beverages and/or illicit drugs allowed inside or around the facility.

CM stated not remembering R1 doing drugs and/or alcohol and cannot recall if the facility reported to her.

Based on interviews and records review and the Department was not able to interview R1 as R1 already passed away when complaint was received, the allegation is closed as unsubstantiated.

An unsubstantiated findings means that although the allegations may have happened or are valid, the preponderance standard was not met.

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: 04/09/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025

LIC9099 (FAS) - (06/04)

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