370802857-7-21-2022-08-AS-DPOL-CGSRYG-20220729132615

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802857
Report Date: 07/21/2022
Date Signed: 07/21/2022 11:19:17 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/24/2022 and conducted by Evaluator Carmen Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20220224095806

FACILITY NAME:	CARROLL'S COMMUNITY CARE		FACILITY NUMBER:	370802857
ADMINISTRATOR:	ROGELIO HERNANDEZ		FACILITY TYPE:	735
ADDRESS:	523 EMERALD AVENUE		TELEPHONE:	(619) 442-8893
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	70	CENSUS: 68	DATE:	07/21/2022
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Rogelio Hernandez, Administrator		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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- Facility is not kept free from roaches.
- Facility does not provide general hygiene products for residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegations. LPA identified herself and was granted entry by Rogelio Hernandez, Administrator. LPA stated the purpose of the visit and reviewed the findings of the complaint with Administrator Hernandez.

The Department’s investigation consisted of interviews with staff and outside sources, records review of relevant documents, and LPA observation of the facility grounds. On February 24, 2021, it was alleged that the facility did not keep the facility free from cockroaches, specifically in the bathroom. It was also alleged that the facility did not provide clients with general hygiene products, specifically shampoo and toiletries.

Interview statements by an outside source said that the facility had roaches specifically located in the bathroom of the facility. Interview with staff revealed that the facility has a contract with a pest control company who provides pest control services at least every other month or on an as needed basis.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022

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-20220224095806

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: CARROLL'S COMMUNITY CARE	FACILITY NUMBER: 370802857
	VISIT DATE: 07/21/2022

NARRATIVE

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Review of facility records confirmed the facility has an account with a local pest control service for commercial and residential areas. The invoices provided by the facility determined that the pest control services have been provided on a continuous basis, either monthly or as needed. Invoices revealed that services have been ongoing specifically for cockroaches and bed bugs on an at least monthly basis since November 2021 – February 2022. During a tour of the facility on March 1, 2022 and July 21, 2022, LPA did not observe any cockroaches in any of the bathrooms, bedrooms, or dining area of the facility.

Interview with outside sources said that clients do not receive hygiene products, specifically toilet paper, hand towels, and shampoo. Interviews with staff denied the allegation and stated that the facility obtained shipments of toilet paper multiple times on a monthly basis and hygiene products such as shampoo, soap, bath tissue, wipes and other items from stores as needed. Interview with multiple clients did corroborate staff statements. Multiple clients verified that the facility provided them with hygiene products and towels weekly or on an as needed basis. Review of the facility’s invoices and receipts confirmed that the facility ordered hygiene products at least twice per month. The facility has a contract with, a local distribution supplier, who makes deliveries between two to three times per month. Receipts showed that facility staff shop at retail or general good stores to obtain any additional hygiene products needed. During the visit on March 1, 2022, LPA observed that the facility had sufficient amounts of toiletries and hygiene products on-site. Shampoo is given to clients on their shower days or when requested by the client. Toiletries are given to clients twice per week or when requested by the client.

Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained during staff and outside sources interviews and records reviewed, there is not sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be unsubstantiated.

The report was discussed, and an exit interview was conducted with Administrator Rogelio Hernandez. A copy of this report along with Licensee/Appeal Rights (LIC9058 01/16) was provided to Administrator Hernandez at the conclusion of the visit.

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2022

LIC9099 (FAS) - (06/04)

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