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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370804788
Report Date: 11/19/2020
Date Signed: 11/25/2020 01:32:53 PM



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
03/20/2020 and conducted by Evaluator Alexandre Vo
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20200320092829
FACILITY NAME:CASA EL CAJONFACILITY NUMBER:
370804788
ADMINISTRATOR:REBECCA RAYOFACILITY TYPE:
740
ADDRESS:306 SHADY LANETELEPHONE:
(619) 440-1335
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY:99CENSUS: 91DATE:
11/19/2020
UNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:Rebecca RayoTIME COMPLETED:
02:22 PM
ALLEGATION(S):
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Facility staff yelled at residents
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Alexandre Vo, conducted an unannounced virtual visit to deliver findings regarding the above-mentioned allegation. Virtual visits are being conducted due to COVID-19 restrictions. LPA met with Administrator, Rebecca Rayo, via FaceTime, identified himself, and stated the purpose of the virtual call.

The Department’s investigation involved observations and interviews with staff, residents, and outside sources.

It was alleged that staff yelled at residents on different occasions. Residents have personal rights to be allowed dignity in their relationships with staff and other persons. According to interviews, staff denied that they yelled at residents. Interviews also revealed that there may be different perceptions of intonations and inflections, possibly due to cultural differences, but that there is no malice, or ill-intent, on the part of the staff. Outside sources also corroborated that they have not observed or witnessed staff yell at residents, although sometimes staff can be loud when speaking to the residents. (continued)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alexandre VoTELEPHONE: (619) 385-7506
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020
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-20200320092829
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: CASA EL CAJON
FACILITY NUMBER: 370804788
VISIT DATE: 11/19/2020
NARRATIVE
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The Department investigated the allegation that residents were not afforded dignity in their relationship with staff. Based on interviews and observations, it was determined that there is insufficient evidence to find that staff violated the residents’ personal rights, therefore, this allegation has been deemed unsubstantiated because the preponderance of the evidence standard has not been met.

An exit interview was conducted, and a copy of this report and Licensee’s Rights (9058 01/16) were provided to the Administrator via electronic mail. An e-mail receipt confirms the acceptances of these documents.
SUPERVISOR'S NAME: Simon JacobTELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alexandre VoTELEPHONE: (619) 385-7506
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2