331800073-3-28-2024-18-AS-JDHS-D7PLQ9-20240731085707

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800073
Report Date: 03/28/2024
Date Signed: 03/28/2024 10:41:49 AM

Unfounded

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
08/03/2022 and conducted by Evaluator Venus Mixson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220803101043

FACILITY NAME:	VINEYARD PLACE		FACILITY NUMBER:	331800073
ADMINISTRATOR:	ARLENE CRAWFORD		FACILITY TYPE:	740
ADDRESS:	24325 WASHINGTON AVE		TELEPHONE:	(951) 387-8410
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	82	CENSUS: 49	DATE:	03/28/2024
		UNANNOUNCED	TIME BEGAN:	08:41 AM
MET WITH:	CLINICAL SERVICES DIRECTOR, IVY VILLAPANDO		TIME COMPLETED:	10:48 AM

ALLEGATION(S):

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9

Resident's medical needs are not being met.

INVESTIGATION FINDINGS:

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On March 28, 2024, Licensing Program Analyst (LPA), Venus Mixson conducted a visit and met with the Clinical Services Director, Ivy. The visit was conducted to provide the findings for the investigation pertaining to the listed allegation. The investigation consisted of staff and resident interviews, witness interviews, record reviews, and observations.

On August 03, 2022, Community Care Licensing received a complaint alleging that a resident's medical needs are not being met. It was reported that Resident Number 1 (R1), has not seen a physician since the initial hospitalization. It was also alleged that the resident has not received medical attention or seen a physician.

Regarding the allegation resident's medical needs are not being met, it was advised that the resident receives Hospice services and is seen by a Hospice Nurse several times a week. Additionally, it was advised that R1 is on Hospice with West Coast Hospice and the attending physician is responsible for seeing the resident. The information obtained from staff interviews does not corroborate the listed allegation.

Additional information obtained from the record reviews demonstrated that the resident is receiving medical attention two to three times a week or as needed. It was advised that the Hospice nurse and the physician have being seeing to the residents’ medical needs. The evidence received does not support the allegation.

Based on information obtained from interviews, record reviews, and observations, the information obtained was not sufficient to demonstrate the listed allegations were accurate. Therefore, the allegations have been deemed as "UNFOUNDED." An allegation deemed unfounded means "the allegation is false, could not have happened and/or is without a reasonable basis." Therefore, the outcome of the allegation is regarded UNFOUNDED.

The Department has investigated the listed allegations and the information obtained has demonstrated the listed allegations did not occur and therefore, has dismissed the allegations.

An exit interview was conducted, and a copy of this report was provided to the Executive Director, Thomas Taylor.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Venus Mixson	TELEPHONE: (951) 897-7936
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

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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