330905299-7-25-2023-18-AS-NBRN-CUAL65-20230801082807

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 330905299
Report Date: 07/25/2023
Date Signed: 07/25/2023 02:23:27 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/17/2021 and conducted by Evaluator Amy Goldenberg

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20210917105108

FACILITY NAME:	CREST HOME FOR THE ELDERLY		FACILITY NUMBER:	330905299
ADMINISTRATOR:	RAMASAR, OSCAR		FACILITY TYPE:	740
ADDRESS:	4460 CREST VIEW DRIVE		TELEPHONE:	(951) 736-2921
CITY:	NORCO	STATE: CA	ZIP CODE:	91760
CAPACITY:	29	CENSUS: 23	DATE:	07/25/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Gigi and Oscar Ramasar, Licensee		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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-No night staff
-Entry to rooms are block and inaccessible
-Resident are not provided medical services
-No comfortable temperature maintained at facility
-Food has infestation and not of nutritional value
-No furniture available for residents at facility to sit in living room

INVESTIGATION FINDINGS:

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This unannounced visit by Amy Goldenberg, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation into the complaint allegations mentioned above.

Investigation included review of records, tour of the facility to assess temperature, to assess food supply, to assess for blocked passageways, and to assess for pest control issues. It is alleged that there are no staff at night. Review of staff schedules indicate that the facility is staffed around the clock. Six (6) of six (6) residents interviewed tell LPA that there is staff at the facility at night. It is alleged that staff uses a big chair to block the hall providing no access to rooms during the day. LPAs did not make this observation during facility tours conducted on 09/04/2021 and 07/25/2023. It is alleged that dinner is at 3 PM and residents do not have access to food until 8am breakfast. Six (6) out of six (6) residents interviewed did not have concerns with availability of food.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 201-3990
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023

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 18-AS-20210917105108

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: CREST HOME FOR THE ELDERLY	FACILITY NUMBER: 330905299
	VISIT DATE: 07/25/2023

NARRATIVE

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It is alleged that Doctors are paid under the table and do not see residents. Interview with the Licensee indicated that residents are transported to their doctor appointments by facility staff, or a county worker as needed. All of the residents pay for their medical care with their insurance. Six (6) of six (6) residents interviewed tell LPA they receive the medical care they need. It is alleged that there is no air conditioning and it's hot. On 09/04/2021 LPA monitored facility temperature and noted two thermostats set at 73 and 74 degrees F. On 07/25/2023 LPA observed two thermostats set at 73 and 76 degrees F. It is alleged that food has flies and is cold, facility only serves oatmeal, sandwiches, hot dogs or spaghetti and no outside food is allowed. Interviews revealed that staff assist residents with online orders for delivery and take them for food and shopping outings. It is alleged that there are no chairs to sit and watch TV or activities. Interview revealed that due to renovations, living room furniture was moved for floor replacement and painting, however, the dining room seating and TV remained available. During LPA visit on 07/25/2023, LPA observed multiple couches in the living room.

Based on the available information we have found the complaint allegations are unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. A copy of this report is being reviewed with and furnished to the facility representative.

SUPERVISOR'S NAME: Nedra Brown	TELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amy Goldenberg	TELEPHONE: (951) 201-3990
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2023

LIC9099 (FAS) - (06/04)

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