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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005557
Report Date: 03/20/2024
Date Signed: 03/20/2024 02:04:56 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/16/2021 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20210716134711
FACILITY NAME:BRIDGES CARE HOMESFACILITY NUMBER:
306005557
ADMINISTRATOR:JABONERO, JANICEFACILITY TYPE:
735
ADDRESS:441 N COLFAX STTELEPHONE:
(714) 975-3025
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:4CENSUS: 4DATE:
03/20/2024
UNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Jeremias JaboneroTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff pushed client
Facility did not provide care and supervision
Facility does not provide activities
INVESTIGATION FINDINGS:
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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegations. LPA met with Administrator (AD) Jeremias Jabonero and explained the reason for today’s inspection. The investigation into the allegations that staff pushed client, facility did not provide care and supervision, and facility does not provide activities revealed the following: During the course of the investigation, LPA interviewed AD, clients, and staff, and obtained and reviewed copies of the resident roster, staff roster, Client #2’s (C2) Weekly Menu, C2’s Physician’s Report dated March 17, 2020, C2’s Weight Records from May 10, 2021 to July 2, 2021, C2’s Daily Care Notes for June 2021, C2’s Quarterly Reviews for January 2021 and June 2021, the facility’s Activity Calendar for September 2021 and August 2021, and photographs of outings. Regarding the allegation that staff pushed client: it was reported that staff pushed Client #1 (C1). LPA interviewed AD who denied the allegation. LPA interviewed four staff who denied the allegation. LPA interviewed four clients. One client was non-verbal, but three clients, including C1, denied being pushed or hit by staff or witnessing other clients being pushed or hit by staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
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 2
Control Number 22-AS-20210716134711
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: BRIDGES CARE HOMES
FACILITY NUMBER: 306005557
VISIT DATE: 03/20/2024
NARRATIVE
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Regarding the allegation that the facility did not provide care and supervision: it was alleged that staff are sleeping while on duty and that C2 gained 50 pounds between March 2020 and July 2021. LPA interviewed AD who denied the allegation. LPA interviewed four staff who denied the allegation and stated that staff only sleep at the facility in the staff bedroom while they are not on duty. LPA interviewed four clients. One client was non-verbal, but three clients denied that staff sleep while on duty and reported no issues with the quality of care provided or the food at the facility. Regarding C2’s weight, AD stated that C2 was on a special diet, the facility followed the diet, and C2 lost weight at the facility. LPA reviewed C2’s Weekly Menu which shows the special diet the facility created to help C2 with their weight. LPA reviewed C2’s Physician’s Report dated March 17, 2020 which states C2 weighed 211 pounds on March 17, 2020 and C2’s Weight Records from May 10, 2021 to July 2, 2021 which indicate C2 weighed 249 pounds on May 10, 2021 and 242 pounds on July 2, 2021. However, AD reported that C2 would go to stay with a family member for long periods of time, would gain weight during these stays, and would report eating unhealthy food during these stays after returning to the facility. LPA reviewed C2’s Daily Care Notes for June 2021 which document C2’s food intake and corroborate that the facility was following C2’s diet while C2 was at the facility. The information obtained regarding the reason for C2’s weight gain is conflicting.
Regarding the allegation that the facility does not provide activities: it was alleged staff do not provide activities or walks to clients and C2 mostly stayed in their room while at the facility. LPA interviewed AD who stated the facility has an activity coordinator who organizes activities which include both indoor and outdoor activities. LPA interviewed four staff who described the activities which include walks, outings to parks, recreation centers, stores, and festivals and stated that walks are daily, trips to the recreation center are multiple times a week, and one client is taken on an outing each day. LPA interviewed four clients. One client was non-verbal, but three clients corroborated that the facility has a variety of activities and activities are available every day to clients who choose to participate. Regarding C2, staff reported that they offered C2 walks daily and other activities and sometimes C2 would join in and other times they would not. LPA reviewed C2’s Daily Care Notes for June 2021, C2’s Quarterly Reviews for January 2021 and June 2021, the facility’s Activity Calendar for September 2021 and August 2021, and photographs of outings which demonstrate outings and activities in which C2 participated. The information obtained is conflicting.
Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegation are deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2