370802857-1-4-2024-08-AS-DPOL-CZXSSU-20240129130832

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802857
Report Date: 01/04/2024
Date Signed: 01/04/2024 12:32:53 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
03/16/2023 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20230316142145

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: 70	DATE:	01/04/2024
		UNANNOUNCED	TIME BEGAN:	12:28 PM
MET WITH:	Roger Hernandez, Administrator		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Lack of supervision resulting in physical abuse
Lack of supervision resulting in client using illegal drugs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings. LPA was allowed entry by the Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the findings to the Administrator.

The Department investigated the above-listed complaint allegations. The investigation consisted of a tour of the facility, interviews with staff, residents, outside sources, and a records review. March 16, 2023, a complaint was received by the Department regarding Lack of supervision resulting in physical abuse and lack of supervision resulting in a client using illegal drugs.

Resident 1 (R1) resided at Carrolls Community Care for approximately two months. R1 was placed at Carrolls on or about 01/27/23 by an outside source. R1 was diagnosed with Bipolar Type I and Schizoaffective. The outside source confirmed R1 had a history of drug abuse associated with paranoid and delusional behavior.
Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

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-20230316142145

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: 01/04/2024

NARRATIVE

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The outside source informed the investigator that R1 denied the allegations of assault to the attending physician while in the care at the hospital.

On 03/27/23, Resident 2 (R2) at Carrolls Community Care informed that on numerous occasions they witnessed R1 at the local restaurant associating with known drug users and R2 witnessed R1 “getting high”, R2 said R1 would occasionally try to do drugs in the room at the facility but R2 would not allow it. R2 reported on 03/10/23 that they and R1 slept in their shared room all night and R2 denied anyone entering the room the entire night. On 03/11/23 R1 woke up and reported to Staff 1 (S1) that he had been assaulted.

Staff 2 (S2) reported that R1 was not consistent in taking their prescribed medications which would cause them to become paranoid and delusional. R1 stated that staff conducted hourly status checks on residents to see if they were smoking or using drugs in their rooms. Most of the residents have drug abuse and mental health issues. Facility staff would speak with the residents about curfew however they cannot enforce it. Residents will usually leave the facility use illicit drugs on the streets and return to the facility under the influence. Facility staff will document the incident and report it to the administrator for follow-up.

There were no interviews conducted with R1 during their stay at the hospital and they did not return to Carrolls Community Care. R1 was kept in the hospital until being placed at a different facility on 03/12/23. R1 began elopement from the facility and the staff had difficulty keeping them at the facility. R1 was soon evicted from the new facility and the outside source was notified and R1's location was unknown.

While R1 was hospitalized they had admitted to hospital staff and later to the outside source that they were not assaulted at Carrolls Community Care and the allegations of being forced to take drugs were false. R1's roommate R2 reported no one was in the room with them that evening and R1 did not use drugs while in the room.

Based on the findings of this investigation, the allegations of Lack of supervision resulting in physical abuse and lack of supervision resulting in a client using illegal drugs were found to be unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Administrator and his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

LIC9099 (FAS) - (06/04)

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