331881142-1-17-2024-56-AS-EMAN-CZYPBM-20240130101033

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881142
Report Date: 01/17/2024
Date Signed: 01/17/2024 11:23:09 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
01/16/2024 and conducted by Evaluator Ryan Gardner

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240116090330

FACILITY NAME:	TWIN HEARTS SENIOR CARE, LLC		FACILITY NUMBER:	331881142
ADMINISTRATOR:	MANGENTE, KRISTINE A.		FACILITY TYPE:	740
ADDRESS:	995 BOUQUET CIR.		TELEPHONE:	(951) 736-6925
CITY:	CORONA	STATE: CA	ZIP CODE:	92881
CAPACITY:	6	CENSUS: 5	DATE:	01/17/2024
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Frederic Manuel- Caregiver		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility staff leave residents in soaked diapers.
Facility does not have night staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to investigate and deliver findings for the allegations listed above. LPA stated the purpose of the visit, was granted entry, and met with Caregiver Frederic Manuel. The investigation consisted of resident interviews and staff interviews.

For allegation, Facility staff leave residents in soaked diapers:

Interviews with the staff revealed that the resident’s diapers are changed on a as needed basis, but they are changed at minimum three (3) times a day. The number of times the resident’s diapers are changed varies from day to day depending on their urine and bowel movements. The staff denied leaving the residents in soaked diapers and stated that there have been no issues with the residents not getting their diapers changed. Interviews with the residents did not reveal information indicating that they were left in soaked diapers or any issues with incontinent care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-8222
LICENSING EVALUATOR NAME: Ryan Gardner	TELEPHONE: (951) 836-3180
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

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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Control Number 56-AS-20240116090330

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: TWIN HEARTS SENIOR CARE, LLC	FACILITY NUMBER: 331881142
	VISIT DATE: 01/17/2024

NARRATIVE

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For allegation, Facility does not have night staff:

Interviews with the staff revealed that the facility has two (2) caregivers on staff during every twenty-four (24) hour period. During this shifts, one (1) staff member works 7AM to 7PM and the other staff member works 7PM to 7AM. The two (2) staff members rotate their schedules so there is always one (1) staff member working the day shift and one (1) staff member working the night shift. The staff members denied that they do not have a night staff. The staff stated there is always one (1) staff member awake to supervise the residents and take care of the resident’s needs. Interviews with the residents revealed that there is a staff member awake to help them during the night. The residents have a call button and when they press the call button, the staff member arrives within a couple of minutes.

Overall, there was not enough evidence to collaborate the allegations listed above.

Based on evidence obtained during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means 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.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Caregiver Frederic Manuel, along with a copy of the appeal rights.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 248-8222
LICENSING EVALUATOR NAME: Ryan Gardner	TELEPHONE: (951) 836-3180
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2024

LIC9099 (FAS) - (06/04)

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