198602870-3-12-2024-28-AS-LHIS-D3SP2J-20240328105557

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602870
Report Date: 03/12/2024
Date Signed: 03/12/2024 01:12:59 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 CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2024 and conducted by Evaluator Jewel Baptiste

COMPLAINT CONTROL NUMBER: 28-AS-20240304121112

FACILITY NAME:	SERENTO CASA		FACILITY NUMBER:	198602870
ADMINISTRATOR:	SARAH SESAY		FACILITY TYPE:	741
ADDRESS:	1740 SAN DIMAS AVENUE		TELEPHONE:	(909) 394-0304
CITY:	SAN DIMAS	STATE: CA	ZIP CODE:	91773
CAPACITY:	131	CENSUS: 58	DATE:	03/12/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Tuker Brugh Executive Director		TIME COMPLETED:	01:27 PM

ALLEGATION(S):

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Staff are charging cash for cleaning the residents' rooms.
Cleaning supplies and toxins accessible to residents.
Facility is in disrepair

INVESTIGATION FINDINGS:

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On 3/12/24 at 9:00 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility listed above. Upon arrival LPA met with the Executive Director Tucker Brugh and Health Services Director Heather Oneel and explained the reason for the visit.

During today’s visit LPA toured the facility with the Health Services Director. LPA obtained resident roster, staff roster, housekeeping schedule and the last two (2) weeks of work orders. LPA interviewed: Executive Director and a total of five (5) staff who shall be referred to as S1 through S5. LPA interviewed a total of six (6) residents who shall be referred to as: R1 through R6.

Report continued on 9099c

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 213-1556
LICENSING EVALUATOR NAME: Jewel Baptiste	TELEPHONE: (323) 400-9594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024

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 28-AS-20240304121112

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 CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SERENTO CASA	FACILITY NUMBER: 198602870
	VISIT DATE: 03/12/2024

NARRATIVE

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The investigation reveals the following: Regarding “Staff are charging cash for cleaning the residents' rooms”. It is alleged that the housekeepers are charging the residents to clean the rooms. The Executive Director denied the allegation stating staff have not received cash for cleaning the resident’s room. 5 out of 5 staff denied the allegation stating this is the first time they have heard the allegation and they have never charged the residents cash for cleaning their rooms. 6 out of 6 residents denied the allegation, stating staff help cleaned their rooms and they have never paid staff for cleaning their rooms.

The investigation reveals the following: Regarding “Facility is in disrepair”. It is alleged that the showers, toilets, heaters, air conditioners, and laundry machines are not operational. The Executive Director denied the allegation stating everything is operational. 4 out of 5 staff denied the allegation stating there are no problems with the showers, toilets, heaters, air conditioners,and laundry machine. 1 out of 5 staff stated the laundry machine on the 2^nd and 3^rd floor is not operating well because the clothing retains water during the spin cycle. 6 out of 6 residents stated they have no issues receiving their laundry on time and everything in their rooms are operating properly. LPA toured the facility and checked the heater and air conditioning in rooms #241, #243, #248, #324, #326, and #341. LPA observed all units was operational. LPA also reviewed work orders for the past 2 weeks and noted a work order in room 341 for heating issues that was completed.

The investigation reveals the following: Regarding “Cleaning supplies and toxins accessible to residents”. It is alleged that the facility does not lock up the cleaning supplies. The Executive Director denied the allegation stating staff secures all cleaning supplies. 5 out of 5 staff denied the allegation stating cleaning supplies are locked in main laundry room and if they go on a break, they lock up their supplies. 6 out of 6 residents denied the allegation, stating they have not observed cleaning supplies left unattended in the facility. During the tour LPA did not observe cleaning supplies left unattended. LPA also observe the main laundry room was locked and inaccessible to the residents.

Based on LPA's interviews, and file review the investigation revealed: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with Heather Oneel and a copy of this record provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 213-1556
LICENSING EVALUATOR NAME: Jewel Baptiste	TELEPHONE: (323) 400-9594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024

LIC9099 (FAS) - (06/04)

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