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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800065
Report Date: 09/02/2021
Date Signed: 09/09/2021 03:01:15 PM



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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/02/2020 and conducted by Evaluator Deborah Mullen
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20201002115326
FACILITY NAME:SACRED HEART-EDGEMONTFACILITY NUMBER:
331800065
ADMINISTRATOR:MACIAS, EVELYNFACILITY TYPE:
740
ADDRESS:37212 EDGEMONT DRIVETELEPHONE:
(949) 257-8344
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:0CENSUS: 0DATE:
09/02/2021
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Bruce Smerker, LicenseeTIME COMPLETED:
12:10 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Residents left in soiled diapers
Residents are being neglected
Staff do not have required training


INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Deborah Mullen delivered the findings of the above allegation. LPA met with Bruce Smerker, Licensee. The Department investigation included interview with Licensee, staff and other pertinent witnesses. Due to the voluntary closure of the facility, LPA was unable to interview additional witnesses.
4 out 4 staff interviewed denied residents are being left in soiled diapers or resident are not being turned or repositioned in bed. A witness who was interviewed provided conflicting information when stating residents were being left in soiled diapers and were not being turned or repositioned every two hours. LPA has been unable to interview staff and residents due to their relocation due to facility closure. 4 out 4 staff interviewed stated they have received training through instructional videos and on the job training. The licensee provided documentation for some of the staff training. A witness who was interviewed provided conflicting information when stating the staff have not received training to perform the job. Therefore, based on interviews conducted and documentation reviewed there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Mr. Smerker.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Deborah MullenTELEPHONE: (951) 212-0616
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021
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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