361880786-3-17-2021-18-AS-EMAN-BZLT9K-20210330143201

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880786
Report Date: 03/17/2021
Date Signed: 03/17/2021 11:06:15 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
08/24/2020 and conducted by Evaluator Natalie Gayoso

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200824143903

FACILITY NAME:	SOMERFORD PLACE-REDLANDS		FACILITY NUMBER:	361880786
ADMINISTRATOR:	TURNER, DANICA J		FACILITY TYPE:	740
ADDRESS:	1319 BROOKSIDE AVENUE		TELEPHONE:	(617) 796-8350
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92373
CAPACITY:	75	CENSUS: 37	DATE:	03/17/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Danica Turner		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

residents left in urine and feces soaked diaper for extended period of time
staff not provided with adequate personal protection equipment to perform job
residents clothing not changed daily

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Natalie Gayoso contacted the facility via telephone due to COVID-19 to deliver findings for the above allegations. LPA identified herself and discussed the purpose of this call with administrator Danica Turner.

The investigation consisted of interview and records review. The first allegation indicates residents left in urine and feces-soaked diaper for extended period of time. LPA interview Staff #1-#3 (S1-S3) who revealed staff are required to check resident diapers every 2 hours, before and after meals, and as needed. S2 stated on coming staff is also required to check for soil diapers at the beginning of their shifts. S1 stated that the NOC shift is also required to check on residents for soiled diapers.

The second allegation indicates staff not provided with adequate personal protection equipment to perform job. Interviews with S1-S3 indicated that the facility does provide personal protection equipment to staff and it is mandatory to wear face masks while on shift.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Natalie Gayoso	TELEPHONE: (951) 290-1102
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021

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 2

Control Number 18-AS-20200824143903

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SOMERFORD PLACE-REDLANDS	FACILITY NUMBER: 361880786
	VISIT DATE: 03/17/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The facility has N95s, gowns, face shield, googles, and shoe booties available for staff to wear.

The third allegation indicates residents clothing not changed daily. Interviews with S1-S3 stated that residents’ clothes are changed daily. S1 stated that residents clothing is also changed as needed. If they dirty themselves, staff will change into clean clothes. S3 stated that there are residents who do not want to be changed and they have a right to refuse.

Based one LPA interviews which were conducted, and record review, the allegations are unsubstantiated. A finding of UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies were cited at this time. An exit interview was conducted, and a copy of this report was reviewed with administrator via telephone and a copy provided via email.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Natalie Gayoso	TELEPHONE: (951) 290-1102
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2