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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331800160
Report Date: 01/20/2023
Date Signed: 01/20/2023 02:49:38 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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/17/2023 and conducted by Evaluator Chinwe Nwogene
COMPLAINT CONTROL NUMBER: 18-AS-20230117084407
FACILITY NAME:HIGHGATE SENIOR LIVING-TEMECULAFACILITY NUMBER:
331800160
ADMINISTRATOR:WILLIAMS, KATHLEENFACILITY TYPE:
740
ADDRESS:42301 MORAGA ROADTELEPHONE:
(951) 308-1885
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY:99CENSUS: 96DATE:
01/20/2023
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Lyssa Irani, Community Resource ManagerTIME COMPLETED:
02:55 PM
ALLEGATION(S):
1
2
3
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5
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7
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9
Facility staff are verbally abusing resident.
Facility staff are physically abusing resident.
Facility staff are going through resident's personal items.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On January 20, 2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegations. LPA met with Community Resource Manager, Lyssa Irani who was informed of the purpose of the visit. At the time of visit, LPA interviewed staff and residents, reviewed staff and resident file.
Regarding the allegation “Facility staff are verbally abusing resident”. Interview with Resident #1 (R1) revealed staff #1 (S1) goes to resident’s dresser and when resident complaint's about it Staff #1 yells at resident. LPA interviewed staff who denied yelling at resident or being verbally abusive to resident. Staff #1 file review revealed no record of disciplinary action or record of verbally abusing resident.
Regarding the allegation “Facility staff are physically abusing resident”. LPA interviewed residents who denied staff physically abuse residents. LPA interviewed staff who denied abusing residents.
Regarding the allegation “Facility staff are going through resident's personal items”. It was alleged staff goes through resident's personal items in resident's dresser. LPA interviewed staff who denied going to resident’s drawer except when staff is helping resident to dress and helping get resident's clothes from resident's dresser.
Based on LPA’s interview with staff, and residents and review of resident and staff file there is not enough evidence to support the above allegations. Although the allegations may have happened or are valid, 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 Lyssa Irani.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe NwogeneTELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
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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