331880898-9-12-2023-18-AS-RSTS-CW2PHZ-20230926112044

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880898
Report Date: 09/12/2023
Date Signed: 09/12/2023 10:10:21 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
01/27/2022 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20220127103222

FACILITY NAME:	HELPING HANDS CARE HOMES		FACILITY NUMBER:	331880898
ADMINISTRATOR:	KINCHERLOW, TYLA		FACILITY TYPE:	740
ADDRESS:	33999 TUSCAN CREEK WAY		TELEPHONE:	(951) 365-0443
CITY:	TEMECULA	STATE: CA	ZIP CODE:	92592
CAPACITY:	5	CENSUS: 3	DATE:	09/12/2023
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Tyla Kincherlow, Licensee		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Lack of Care and Supervision: causing bruises to left eye and injury to lip.
Facility violated Resident personal rights: Resident was found only in diapers with no clothing.
Staff neglect resulted in resident being dehydrated.
Staff are overmedicating resident.

INVESTIGATION FINDINGS:

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On 9/12/2023, Licensing Program Analyst (LPA), Chinwe Nwogene conducted an unannounced visit to conclude the complaint investigation into the allegation listed above. LPA Met with Licensee, Tyla Kincherlow. During the investigation, Staff, resident, Resident’s Responsible party, resident's primary care physician and Holistic Care Hospice Manager were interviewed, resident file was reviewed.
Regarding the allegation “Lack of Care and Supervision: causing bruises to left eye and injury to lip”, Staff was interviewed who denied lack of care and supervision caused bruises to resident’s left eye and lip. Staff stated resident tried to get out of bed while being fed by staff, resident swung arms, and knocked the food out of staff hands. As staff went to get something to clean the food, resident climbed out of bed and hit face on the nightstand. Interview with Resident was attempted, but due to resident’s level of confusion, resident gave an inconsistent statement of events. Therefore, there is no sufficient evidence to determine if the injury suffered by resident was as a result of the accident. Unsubstantiated.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) -24-0313
LICENSING EVALUATOR NAME: Chinwe Nwogene	TELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023

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-20220127103222

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: HELPING HANDS CARE HOMES	FACILITY NUMBER: 331880898
	VISIT DATE: 09/12/2023

NARRATIVE

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Continued From LIC9099.

Regrading the allegation “Facility violated Resident personal rights: Resident was found only in diapers with no clothing”, It was alleged on 01/19/2022 staff left resident in diapers. Staff was interviewed who denied having resident only in diapers. Staff reported resident is always dressed. Staff stated on 01/19/2022 resident was swinging and hitting staff, knocked food out of staff hand while staff was trying to feed resident. Resident’s Responsible party (RP) was interviewed, interview revealed resident was always dressed except on 01/19/2022 when resident was swinging and hitting staff. Unsubstantiated.

Regarding the allegation “Staff neglect resulted in resident being dehydrated”, Staff was interviewed who stated that resident meal consumption decreased. Staff stated resident was eating about 50 to 60% of the meal. Staff denied knowing resident was diagnosed with dehydration. Hospice medical records were reviewed and showed resident’s appetite and hydration was poor. Resident was on a puree diet and only ate one meal a day. Medical records review showed that resident was admitted to the hospital on 01/24/2022 with dehydration that caused Hypernatremia. Resident’s primary care physician was interviewed who reported reviewed resident’s medical records and it’s impossible to determine if neglect led to resident’s dehydration or due to medical reasons already mentioned in the medical record. Unsubstantiated.

Regarding the allegation “Staff are overmedicating resident” staff was interviewed who denied was overmedicating resident. Staff stated resident’s medications were administered to resident according to doctor’s orders. Holistic Care Hospice Manager was interviewed who reported during hospice visits, resident was not observed to be over medicated. Unsubstantiated.

Based on interviews with Staff, resident, Resident’s Responsible party, resident's primary care physician and Holistic Care Hospice Manager and resident file review, 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 Tyla Kincherlow.

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) -24-0313
LICENSING EVALUATOR NAME: Chinwe Nwogene	TELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023

LIC9099 (FAS) - (06/04)

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