<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336409054
Report Date: 06/29/2021
Date Signed: 07/08/2021 11:00:10 AM



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
05/14/2021 and conducted by Evaluator Deborah Mullen
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20210514112823
FACILITY NAME:DIAMOND RCFE OF MURRIETAFACILITY NUMBER:
336409054
ADMINISTRATOR:IARISH MARTINEZFACILITY TYPE:
740
ADDRESS:26973 HOLLYGROVE CTTELEPHONE:
(951) 304-2162
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:6CENSUS: DATE:
06/29/2021
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Patrick Gonzalez, Caregiver TIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident sustained multiple pressure injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Deborah Mullen and Jesse Gardner conducted an unannounced visit to deliver the findings of the above allegation. LPA met with Patrick Gonzalez, Caregiver. The investigation included interviews with Licensee, hospice nurse and a review of resident 1’s (R1s) hospice records.
The allegation states resident sustained multiple pressure injuries while in care. Licensee was interviewed and denied the allegation that R1 sustained pressure injuries while in care. Licensee stated R1 was in placement at her facility from 2/21/21 to 2/26/21 and then again on 4/27/21 to 5/12/21. During the time of 2/26/21 through 5/12/21, while not living at the facility, R1 was admitted to the hospital and then went into a rehabilitation facility. Licensee stated on 4/27/21 R1 returned to the facility with several pressure wounds. The Licensee stated R1 was receiving hospice care weekly and that hospice nurses were providing wound care. LPA interviewed the hospice agency nurse who completed R1’s intake assessment on 4/28/21. The hospice agency nurse confirmed that R1 was placed at the facility with pressure wounds. The nurse also provided assessment intake documentation.
Therefore, this agency has investigated the complaint alleging resident sustained multiple pressure injuries while in care. We have found that the complaint was unfounded, meaning that the allegation were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted, and a copy of this report was reviewed with and provided to Patrick Gonzalez, Caregiver.

Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ClemonsTELEPHONE: (951) 836-2784
LICENSING EVALUATOR NAME: Deborah MullenTELEPHONE: (951) 212-0616
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 1