370804865-3-29-2023-08-AS-LTEZ-CQFURA-20230331154824

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370804865
Report Date: 03/29/2023
Date Signed: 03/29/2023 02:03:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
12/16/2022 and conducted by Evaluator Nacole Patterson

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20221216084025

FACILITY NAME:	CARROLLS RESIDENTIAL CARE		FACILITY NUMBER:	370804865
ADMINISTRATOR:	BRYAN MEYERS		FACILITY TYPE:	740
ADDRESS:	655 S MOLLISON		TELEPHONE:	(619) 444-3181
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	144	CENSUS: 116	DATE:	03/29/2023
		UNANNOUNCED	TIME BEGAN:	01:18 PM
MET WITH:	Bryan Myers, Administrator		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff financially abused residents in care
Staff did not safeguard resident's personal belongings
Facility ceiling is in disrepair
Staff did not treat resident(s) with dignity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced complaint visit to the facility to deliver findings for the above allegations. LPA introduced herself and disclosed the purpose of the visit to Bryan Myers, Administrator.

On 12/16/2022 it was alleged that the facility financially abused residents in care, did not safeguard residents’ personal belongings, allowed a portion of the ceiling to be in disrepair, and did not treat residents with dignity. The Department’s investigation consisted of unannounced facility tours/welfare check, review of facility records, resident interviews, staff interviews, outside source interviews, and LPA direct observations.

(Continued on LIC9099-C...)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

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-20221216084025

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CARROLLS RESIDENTIAL CARE	FACILITY NUMBER: 370804865
	VISIT DATE: 03/29/2023

NARRATIVE

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(Continued from LIC9099)

Regarding the first allegation, ‘Staff financially abused residents in care” by not providing a ledger to a resident upon holding cash resources, and applying a resident's funds contradictory to the established payment standards for the resident’s income source. Facility records review did not reveal that the facility calculated, managed, or applied resident funds outside of the signed Admissions Agreement or in a way that violated payment standard requirements. Staff interview revealed that the facility provides an itemized bill for residents to the responsible payee each month. The facility’s process for securing resident personal funds includes providing documentation of held funds via ledger and storing them in a locked location. Resident interviews revealed that the cash resource in question was accounted for, and a ledger was provided to the resident. LPA directly observed the facility’s secured location for resident personal funds, as well as the specific funds of concern in the complaint.

Regarding the second allegation, ‘Staff did not safeguard resident’s personal belongings’, facility records revealed that residents have the option to list personal items on a ledger upon admission to the facility. Residents sign their understanding that the facility is not responsible for their personal property in the Admission Agreement. Staff interviews revealed that all resident room doors have locks and only the residents assigned to the room have a key to unlock the door, with the exception of the facility’s master key. Residents are encouraged to lock their doors when not occupying their rooms. If a resident notifies facility staff of lost or potentially stolen property, staff will assist the resident in locating the item or conduct an internal investigation to try and retrieve the item. Residents are encouraged to keep their personal spaces organized and take measures to secure their property. For items of value, residents can request the facility to secure the item in a locked location at the facility. During an unannounced facility visit, LPA directly observed the secured location of resident personal property.

Regarding the third allegation, ‘Facility ceiling is in disrepair’ and the facility allowed a leak to go untreated. Outside source interviews revealed that the facility has fixed past building issues within a couple of days of being identified, and the Administrator has a history of addressing these issues quickly. Outside source interview revealed that the facility has not had any outstanding maintenance issues go untreated.

(Continued on LIC9099-C)

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20221216084025

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CARROLLS RESIDENTIAL CARE	FACILITY NUMBER: 370804865
	VISIT DATE: 03/29/2023

NARRATIVE

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(Continued from LIC9099-C)

Staff interview showed that the facility was aware of the water leak and created a plan to resolve it that included identifying the source of the leak, creating a patch to keep water from going through the opening, and observing to see if the patch worked on the next rain day. On three unannounced facility visits LPA directly observed the ceiling in question, in various stages of repair. Heavy rain was present during two of the visits; LPA did not observe any water dripping from the ceiling or water on the floor in the area of concern that could cause a hazard for residents. During the timeframe of repair LPA observed signs of caution, notifying residents of potential water. On the third unannounced visit LPA observed the ceiling to be completely repaired and painted.

Regarding the fourth allegation, ‘Staff did not treat resident(s) with dignity’, resident interviews revealed that staff engage with residents in a kind manner and assist them with their needs and requests. Residents interviewed indicated that they enjoy talking with the staff members. Staff interviews showed that staff understand the nature of the population they work with and adjust their behavior and communication based on the individual needs of residents. Staff interviews revealed that certain residents have hearing challenges, requiring voice projection which has been misinterpreted in the past as yelling. Staff interviews revealed that some situations with residents require a more firm stance to resolve and keep other residents safe, but the delivery of the communication is respectful. Outside source interviews showed that staff adjust the volume of their voices for residents with low hearing but there have been no observations regarding staff speaking to residents in a way that did not maintain residents’ dignity. During 3 unannounced facility visits LPA directly observed staff assisting residents with Activities of Daily Living (ADLs), serving meals, conducting activities, cleaning, administering medication, and assisting with appointments and transportation. LPA did not observe any staff member engage with a resident in a way that was disrespectful or rude. LPA did not observe any resident react to any staff member in a way that would indicate a negative dynamic or that the resident was being treated in an undignified manner.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Bryan Myers, Administrator, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 01/16) were provided.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2023

LIC9099 (FAS) - (06/04)

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