370802857-5-15-2024-08-AS-LTEZ-D5RVKX-20240530163105

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802857
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:48:38 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
05/09/2024 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20240509133350

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: 69	DATE:	05/15/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Roger Hernandez, Administrator		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Unlawful eviction
Staff did not allow client to enter the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above-mentioned allegations. LPA was allowed entry by Roger Hernandez, Administrator. LPA identified herself and disclosed the purpose of the visit and elements of the complaint to the Administrator.

During today’s visit, LPA conducted interviews with staff, obtained records, and a tour of the facility. On May 9, 2024, the Department received a complaint regarding the following allegations: Unlawful eviction and staff did not allow the client to enter the facility.

Allegation 1: Unlawful eviction. Resident 1 (R1) had lived at the facility since June 2023. (R1) was given an eviction on November 8, 2023, and was due to vacate the premises on or by 12/8/23 R1 refused to sign "nice try buddy the Sheriff has to serve me."

Continued 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

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-20240509133350

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: 05/15/2024

NARRATIVE

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A second notice to vacate was given on December 11, 2023, and R1 refused to sign. However, R1's payee signed the eviction notice on December 11, 2023, in agreement and was supposed to find another placement for R1. R1 had a history of verbal aggressiveness, not following house rules, and the destruction of property. The local police department met with the facility Administrators due to the increased number of calls within the last six (6) months to the emergency phone line for police officers to come to the facility.

R1 had the payee switched back to themselves from the outside source. R1 has not paid rent to the facility since February 2024. R1 left the facility on March 27, 2024, after they broke a door, grabbed some belongings, left the property, and stated they "would not be back to the facility". On March 31, 2024, staff packed the rest of R1s belongings and placed them in storage on site. The outside source and family members have been informed that they may pick up R1's additional property and as of this report, the property is still at the facility. Documentation from the family and the outside source revealed that they were aware of the behavior of R1 and had not followed through with placement since December 2023.

Allegation 2: The staff did not allow the client to enter the facility. R1 returned to the facility on April 4, 2024, causing a disturbance, and the local police were called. The facility stated that the police department informed R1 that they needed to leave the premises. R1 has not been back to the facility since April 4, 2024. The facility policy stated, "Abandonment of property and removing belonging: In the event the client leaves and removes their property and it has been longer than 3 weeks, bed will not be held." The facility was notified that R1 currently resides in a hotel.

Based on the findings of the investigation, Unlawful eviction, and staff did not allow client to enter the facility are unsubstantiated. An unsubstantiated finding 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 Roger Hernandez, 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: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

LIC9099 (FAS) - (06/04)

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