370802857-6-22-2023-08-AS-DPOL-CTAV7G-20230630161108

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370802857
Report Date: 06/22/2023
Date Signed: 06/22/2023 11:18:47 AM

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
05/17/2023 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20230517091801

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:	06/22/2023
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Roger Hernandez, Director		TIME COMPLETED:	11:20 AM

ALLEGATION(S):

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Facility did not ensure safe environment
Facility did not safeguard client's personal belongings
Lack of supervision resulting in drug use at facitliy

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 Director Roger Hernandez. LPA identified herself and disclosed the purpose of the visit and elements of the findings with Roger Hernandez, Director.

On May 17, 2023 it was alleged that the facility did not ensure a safe environment; did not safeguard client's personal belongings; and there was a lack of supervision resulting in drug use at facility. The Department investigated these complaint allegations. The investigation consisted of a tour of the facility, interviews with staff, residents, and records review.

Continued on 9099 C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

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-20230517091801

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: 06/22/2023

NARRATIVE

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On May 24, 2023, residents and staff interviewed stated that the bathrooms and showers were cleaned daily, there are door locks on the doors and residents have access to lock the doors when they are in their rooms for the night. Residents stated that there are drug users on premises but had not witnessed any drug activity occurring on the premises. According to facility policy, drug use is not allowed; however, residents are free to leave the facility at all times and can be in the community unsupervised. Observations verified that resident doors have locks and were able to be locked. Bathrooms and showers appeared clean, and LPA observed staff cleaning these areas.

Records reviewed determined information stated in the admissions agreement that the facility is not responsible for personal belongings. Residents can file a police report online when a theft occurs. Interview statements by outside sources were inconsistent and did not support the allegations.

There was insufficient evidence found to support the allegations that facility did not ensure a safe environment; facility did not safeguard client's personal belongings; and lack of supervision resulting in drug use at the facility. Due to a lack of evidence, the allegations are deemed 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 the Director, Roger Hernandez. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Director and his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023

LIC9099 (FAS) - (06/04)

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