197606270-10-21-2021-31-AS-CHAS-C9K87Z-20211209211644

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606270
Report Date: 10/21/2021
Date Signed: 10/21/2021 01:28:27 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/12/2021 and conducted by Evaluator Tuesday Cabiness

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20211012145323

FACILITY NAME:	DENOGEAN ADULT RESIDENTIAL FACILITY		FACILITY NUMBER:	197606270
ADMINISTRATOR:	RICHARD W. DENOGEAN		FACILITY TYPE:	735
ADDRESS:	10712 ARTRUDE STREET		TELEPHONE:	(818) 353-8214
CITY:	SHADOW HILLS	STATE: CA	ZIP CODE:	91040
CAPACITY:	4	CENSUS: 4	DATE:	10/21/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Richard Denogean		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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1. Staff are mismanaging client's medication
2. Staff are not meeting client's medical needs
3. Facility is over capacity
4. Staff did not ensure client wwas seen by a phyisician for follow-up appointment

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced initial complaint visit, to discuss the allegations mentioned above. LPA met with Administrator Richard Denogean and informed him the reason of the visit. The following was determined:

Allegation # 1: Staff are mismanaging client’s medication: On 10/20/2021 and 10/21/2021 from various times, ranging from 8am to 12pm, LPA conducted interviews, reviewed facility file documents, and client records. On 10/10/2021, client #1 (C1) was discharged from the hospital with (2) new additional medications, that were to be included with C1’s previous list of medications. It was alleged that staff did not ensure that the new medications were given to C1 upon discharge orders. Through interviews and documents reviewed, it was determined that C1 was discharged with (2) additional medications on 10/10/2021 at 11pm. The Administrator reviewed the discharge paperwork and noticed that the hospital did not

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021

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 3

Control Number 31-AS-20211012145323

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: DENOGEAN ADULT RESIDENTIAL FACILITY	FACILITY NUMBER: 197606270
	VISIT DATE: 10/21/2021

NARRATIVE

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a written or electronic prescription for C1’s new medication. At 1145pm, the Administrator contacted the hospital regarding the new medications; in which he was told the prescribing physician, or the hospital Case Worker was not there, and they would contact the Administrator in the morning. At 8am on 10/11/2021, the Administrator re-contacted the hospital again, and left another message for a returned phone call; whom the hospital did not return the phone call to the Administrator. Shortly after, the Administrator contacted, and faxed C1’s discharge instructions to C1’s primary physician, who reviewed the documents, and instructed the Administrator to continue with the already prescribed medications, and the doctor would reassess C1 for the (2) additional medications. An appointment was scheduled for 10/13/2021. The primary physician only ordered (1) of the new medications, and the other was not needed. Although, C1 was prescribed (2) new medications upon discharge, the hospital did not provide a written prescription, and the Administrator followed discharge orders by contacting the primary physician, who instructed the Administrator to continue the medication for C1, until the re-assessment appointment could be scheduled. Therefore, based on documentation and information obtained, there is insufficient evidence to prove, ‘Staff mismanaged client’s medication, and the allegation is UNSUBSTANTIATED at this time.

Allegation # 2: Staff are not meeting client’s medical needs: On 10/20/2021 and 10/21/2021 from various times, ranging from 8am to 1pm, LPA conducted interviews, reviewed facility file documents, and client records. On 10/10/2021, client #1 (C1) was discharged from the hospital and relocated to the Administrator’s CCL (Community Care Licensing) facility. Record review and interviews conducted, revealed C1 resided in the other licensed facility owned by the Administrator for (23) years, that is regulated with the Department of Public Health, as a ICF – DDH (Intermediate Care Facility – Developmentally Disabled – Habilitative). Prior to C1’s discharge from the hospital, it was reported to LPA there was a discussion with Regional Center, family and the Administrator, who agreed upon having C1 relocate to the CCL facility, due to the facility having more staffing to handle the needs of the client. LPA was told that the ratio for staffing for the ICF was 1:3, whereas for the CCL facility, it was 1:2, and due to the Administrator’s medical credentials and the staffing for C1’s medical needs, it was determined to be an appropriate level of care at time of discharge. LPA was also informed that medical equipment for C1, was delivered on 10/08/2021

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20211012145323

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: DENOGEAN ADULT RESIDENTIAL FACILITY	FACILITY NUMBER: 197606270
	VISIT DATE: 10/21/2021

NARRATIVE

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which was needed for C1 to be discharged to the CCL facility. It was also reported to LPA, that C1 has been approved for nursing services at the CCL facility, and on 10/21/2021 at 2pm, an assessment was scheduled to determine if the CCL facility is the appropriate level of care. Therefore, based on the documentation reviewed, and other information obtained, LPA determined, there is insufficient evidence to prove, “Staff are not meeting client’s medical needs, and the allegation is UNSUBSTANTIATED at this time.

Allegation # 3: Facility was over capacity: On 10/20/2021 and 10/21/2021 from various times, ranging from 8am to 1pm, LPA conducted interviews, reviewed facility file documents, and client records. It was revealed to LPA, that this allegation was written in error, and there was confusion as to which facility C1 was going to be discharged to, when the reporting party was not aware that the CCL facility had a vacancy. LPA was informed the facility has (4) clients, and their capacity is (4). Therefore, the allegation, “Facility was over capacity” is UNSUBSTANTIATED.

Allegation # 4: Staff did not ensure client was seen by a physician for follow-up appointment: On 10/10/2021 and 10/21/2021 from various times, ranging from 8am to 1pm, LPA conducted interviews, reviewed facility file documents, and client records. Through information obtained, it was revealed, on 10/01/2021 C1 was sent to emergency room for pain in the lower extremities; and was diagnosed with a hip fracture and discharge instructions documented to follow-up with an orthopedic. The next available follow-up appointment was 10/04/2021; where C1 was admitted to the hospital the same day; where C1 was hospitalized and discharged on 10/10/2021. Further information revealed, that concerned parties, requested for a second opinion, and the hospital scheduled an additional appointment for 10/25/2021. Therefore, based on the information obtained, and documents reviewed, there is insufficient evidence to prove “Staff did not ensure client was seen by a physician for follow-up appointment”, and the allegation is UNSUBSTANTIATED at this time

SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021

LIC9099 (FAS) - (06/04)

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