370802857-11-1-2023-08-AS-IESA-CY49GY-20231130222219

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802857
Report Date: 11/01/2023
Date Signed: 11/01/2023 03:16:02 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
03/12/2021 and conducted by Evaluator Becky Kennedy

COMPLAINT CONTROL NUMBER: 08-AS-20210312155431

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:	11/01/2023
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Roger Hernandez		TIME COMPLETED:	04:06 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Lack of Supervision resulting in Illegal drugs being sold inside the facility
Lack of Supervision resulting in residents using illegal drugs at the facility.
Lack of Supervision resulting in non-residents sleeping in resident's rooms.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst Becky Kennedy concluded the investigation which began on 3/17/2021. LPA Kennedy made an unannounced visit to the above facility today and was greeted by Roger Hernandez, Administrator. LPA advised administrator of the reason for today's visit and delivered the investigation findings on the above allegations.

Investigation consisted of interviews with residents, staff, outside sources, record review, and tour of the interior and exterior facility. It was alleged that a lack of supervision resulted in illegal drugs being sold inside the facility, lack of supervision resulted in resident using illegal drugs at the facility, and that lack of supervision resulted in non-residents sleeping in resident’s room.

Investigation revealed, through interviews with staff, and current and former residents, that the facility serves a population of adults, many of whom have substance abuse concerns. Individuals who reside at the facility come and go without restrictions.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

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 08-AS-20210312155431

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: CARROLL'S COMMUNITY CARE	FACILITY NUMBER: 370802857
	VISIT DATE: 11/01/2023

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

It is not uncommon for residents to use drugs while away from the facility. The surrounding area is populated by numerous unhoused individuals who often attempt to gain access to the facility. The surrounding area is also known as a location with significant illegal drug use.

Although the above creates vulnerabilities for the facility, investigation revealed staff member do regular room checks throughout the day and evening. If any illegal activity is observed, the police are called immediately. If a non-resident is found in the living area of the facility, they are asked to leave, if this is inadequate, police are called.

Based on the lack of evidence or witnesses to corroborate or support the allegations, the findings are Unsubstantiated. An exit interview was conducted and a copy of this report, and appeal rights were given to Roger Hernandez, Administrator.

SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2