370801401-3-27-2024-08-AS-JLOT-D4STDG-20240429143818

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370801401
Report Date: 03/27/2024
Date Signed: 03/27/2024 02:11:01 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/20/2024 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20240320114126

FACILITY NAME:	ORANGE WOOD MANOR		FACILITY NUMBER:	370801401
ADMINISTRATOR:	DEBORAH ALVARADO		FACILITY TYPE:	735
ADDRESS:	1202 SOUTH ORANGE		TELEPHONE:	(619) 440-0121
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	49	CENSUS: 32	DATE:	03/27/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator Deborah Alvarado		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Licensee failed to address pest infestation
Licensee did not maintain a clean facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initate a complaint investigation and deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Administrator Deborah Alvarado.

On 3/20/2024 it was alleged that Licensee failed to address pest infestation and Licensee did not maintain a clean facility. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, outside sources, records review, and direct LPA observations. Staff interview revealed that the housekeeping staff cleaned the facility daily and there have been no recent reports from residents or staff regarding a bug infestation of any kind. Staff interview further revealed that a pest control company contract was in place and the company serviced the community monthly. Residents interviewed did not express concerns regarding the cleanliness of the facility and corroborated staff statements regarding daily cleaning and pest control measures. No resident interviewed informed of observing or having been told by another resident of a bug infestation.
(Continued on LIC9099-C p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

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 08-AS-20240320114126

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ORANGE WOOD MANOR	FACILITY NUMBER: 370801401
	VISIT DATE: 03/27/2024

NARRATIVE

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(Continued from LIC9099 p.1)

Outside source interviews revealed varied responses regarding cleanliness and pests at the facility, one outside source stating that it was unclean and two other sources informing that cleaning measures were sufficient. Two outside sources reported never observing pests or bugs on residents or in any part of the facility. One outside source informed that pests have been an ongoing issue for the facility, but they have always taken immediate action to rectify it once they were aware of the issue. Interview with the contracted pest control company corroborated that the facility is serviced monthly. During an unannounced facility visit, LPA toured the entire facility and did not observe any pest, insect, or bug in any part of the facility, including resident rooms. LPA observed housekeeping staff actively cleaning the facility, freshly mopped floors, clean hallways, surfaces and furniture, and resident rooms were in order. LPA did not observe any odors, debris, clutter, or visual aspects of the facility that would indicate that the facility was not regularly cleaned. Review of Department records revealed that an annual inspection was conducted on 9/5/2023 and the facility was noted to be clean and sanitary. Review of facility records revealed monthly invoices from the contracted pest control company dated 1/24/24, 2/28/24, and 3/25/24, corroborating staff and resident statements that the facility is serviced monthly to prevent pests.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Administrator Deborah Alvarado, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024

LIC9099 (FAS) - (06/04)

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