198602078-4-30-2022-11-AS-AJKK-CE9V38-20220509160420

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602078
Report Date: 04/29/2022
Date Signed: 04/30/2022 05:24:21 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, 1000 CORPORATE DR #100
MONTERY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/21/2022 and conducted by Evaluator Lourdes Montoya

COMPLAINT CONTROL NUMBER: 11-AS-20220421102322

FACILITY NAME:	CARING HOUSE		FACILITY NUMBER:	198602078
ADMINISTRATOR:	STEPHANY HARLOW		FACILITY TYPE:	740
ADDRESS:	2842 EL DORADO STREET		TELEPHONE:	(310) 796-6625
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90503
CAPACITY:	6	CENSUS: 4	DATE:	04/29/2022
		UNANNOUNCED	TIME BEGAN:	10:24 AM
MET WITH:	JOANNA FRANCO		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility is not following regulation in regards to destroying medications
Facility overcharged resident for rent

INVESTIGATION FINDINGS:

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On 4/29/2021, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced complaint visit at the above facility to investigate and deliver the findings of the allegations mentioned above. LPA Montoya called the facility and spoke with Executive Director Jonathan Mesko. LPA conducted a risk assessment over the telephone. Based on the assessment, the facility is clear of Covid-19 infection. Upon arriving at the facility, LPA Montoya met with Administrator Joanna Franco. LPA explained the purpose of the visit.

The investigation consisted of the following: A tour of the facility; a review of facility files; Interview of Staff (S1-S4), Residents (R2-R3) and a Witness (W1); Attempted phone interviews of a Staff (S5) and a Potential Witness (W2). LPA was unable to interview two residents (R4-R5) because they are unconscious. LPA requested and obtained copies of Staff Roster, Resident Roster, Resident #1's Admission Agreement and Rental Payment Receipts, Former residents' Death Reports, Medication Destruction Records and other pertinent records.

REPORT CONTINUED IN LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Angela J Kendrick	TELEPHONE: (323) 629-7815
LICENSING EVALUATOR NAME: Lourdes Montoya	TELEPHONE: (323) 981-4934
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022

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 11-AS-20220421102322

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTERY PARK, CA 91754

FACILITY NAME: CARING HOUSE	FACILITY NUMBER: 198602078
	VISIT DATE: 04/29/2022

NARRATIVE

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THE INVESTIGATION REVEALED THE FOLLOWING:

ALLEGATION: Facility is NOT following regulation in regards to destroying medications.

It was alleged that facility is not following regulation in regards to destroying medications. Based on interviews, three Staff (S1, S3 and S4) stated a designated facility staff and a witness destroy the medications within 24 hours from the passing of a resident. S1 and S3 revealed the facility only admits hospice residents and they stay in the facility for an average of 14 days and their medications don't expire before they pass away. S1, S3 and S4 revealed they have not observed any medications that expired or unused and needed to be destroyed while residents are in care at the facility. R2 and R3 (current residents) revealed they don't have any expired or unused medications. Based on records review, destruction of medications are completed within 24 hours from resident's reported date of death. Staff #2, Residents (R2-R3) and Witness (W1) denied knowing the process of destructing medications. Based on records review and interviews, there is insufficient evidence to corroborate the allegation above.

ALLEGATION: Facility overcharged resident for rent.

It was alleged the facility overcharged resident for rent. Reporting Party (RP) reported that a Former Resident (R1) was overcharged rent. Based on records review, R1's admission agreement shows the Resident's Responsible Person (W2) signed the agreement and agreed to pay $1200.00 every fourteen (14) days. Staff (S2) revealed in interview that W2 argued that someone from the facility quoted $600.00 for every fourteen (14) days rent (cost of care). S2 stated the facility accepted the $600.00 rate for every 14 days. Records review revealed, R1's full payment for the entire stay of 71 days was $3000.00. Staff #1-4 (S1-S4), Residents #1-2 (R1-R2) and Witness #1 (W1) stated no resident was overcharged rent. Based on records review and interviews, there is insufficient evidence to corroborate the allegation above.

Based on LPA’s observations, interviews and record reviews, the preponderance of evidence standard has not been met therefore the above allegations, “Facility is not following regulation in regards to destroying medications," and Facility overcharged resident for rent” are found to be UNSUBSTANTIATED.

Exit interview conducted. A copy of this report was provided to Administrator Joanna Franco.

SUPERVISOR'S NAME: Angela J Kendrick	TELEPHONE: (323) 629-7815
LICENSING EVALUATOR NAME: Lourdes Montoya	TELEPHONE: (323) 981-4934
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022

LIC9099 (FAS) - (06/04)

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