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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372002856
Report Date: 04/24/2024
Date Signed: 04/24/2024 12:52:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/17/2024 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240417091827
FACILITY NAME:SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSEFACILITY NUMBER:
372002856
ADMINISTRATOR:FLORETTA CRENSHAWFACILITY TYPE:
735
ADDRESS:2033 ORO VERDE ROADTELEPHONE:
(760) 480-7468
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:8CENSUS: 7DATE:
04/24/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Executive Director, Roselyn KnoxTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Facility is not providing client with privacy
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Executive Director, Roselyn Knox who was informed of the purpose of the visit.
During the visit, LPA conducted interviews, documented observations, and conducted records reviews. At this time the allegations require further investigation.

It was alleged that, “Facility is not providing client with privacy”. It was alleged that cameras in the facility had audio recording capabilities. LPA conducted a tour of the facility and asked staff to show LPA live feed of cameras. LPA observed the software box and remote and observe no volume button. LPA observed the desktop computer connected to the camera system was at maximum volume level and no audio was observed from the cameras. Therefore, the allegation was unable to corroborated.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
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 5
Control Number 18-AS-20240417091827
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSE
FACILITY NUMBER: 372002856
VISIT DATE: 04/24/2024
NARRATIVE
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LPA also conducted a walk through of the facility and found there are (13) cameras in the facility common areas. LPA took photos of these cameras. LPA found (2) of the (13) cameras were positioned in a way where the cameras were pointing at (2) client doors, Bedroom #3 and Bedroom #5. Staff showed LPA the live footage for these two cameras and found that camera outside of Bedroom #3 has a view of the inside of the client’s bedroom. Camera outside of Bedroom #5 is pointed at a second exit door for bedroom #5 which was found to be unlocked during the time of the visit. Therefore, the allegation that clients are not being afforded privacy in the facility is found to be substantiated.

A deficiency was cited and plan of correction was documented with the Executive Director. An exit interview was conducted with Executive Director, Roselyn Knox where this report along with deficiency page and appeal rights were reviewed and provided to them.

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/17/2024 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20240417091827

FACILITY NAME:SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSEFACILITY NUMBER:
372002856
ADMINISTRATOR:FLORETTA CRENSHAWFACILITY TYPE:
735
ADDRESS:2033 ORO VERDE ROADTELEPHONE:
(760) 480-7468
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:8CENSUS: 7DATE:
04/24/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Executive Director, Roselyn KnoxTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Facility is operating without a certified administrator
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegations. LPA met with Executive Director, Roselyn Knox who was informed of the purpose of the visit.

It was alleged that "Facility is operating without a certified administrator". It was alleged that no facility staff have a current administrator's certificate. LPA conducted staff interview which revealed that they did have a certified administrator who left the facility 4/17/2024.Staff interview revealed that staff #1 and Staff #2 are currently enrolled in administrator courses and provided documented proof to LPA during the visit. Staff agreed to send the LPA verification of completion of the course, as well as submission of administrator application by 5/31/2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 18-AS-20240417091827
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSE
FACILITY NUMBER: 372002856
VISIT DATE: 04/24/2024
NARRATIVE
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 Staff interviews revealed that the facility has prospective candidates that are going through the hiring process to be designated as administrtor. Therefore, based on the interviews and records review, it was found that at this time, the facility is actively taking steps to ensure there is a current administrator at the facility. The allegation was found to be unsubstantiated at this time.

Findings that are unsubstantiated mean that although the allegation is valid, the preponderance of the evidence standard has not been met. An exit interview was conducted with Executive Director, Roselyn Knox where this report was reviewed and provided to them.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20240417091827
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SAN DIEGO BRAIN INJURY FOUND.-HOWARD HOUSE
FACILITY NUMBER: 372002856
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2024
Section Cited
CCR
80072(a)(1)
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(a) Except for children’s residential facilities, each client shall have personal rights which include...(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirment was not met as evidenced by:
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The staff agreed to hold an inservice with staff of need to safeguard resident privacy in bedroom #5.
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Based on interview, record, review and observation it was found that (2) of th facility cameras are pointed at resident rooms. This poses a potential health, saftey or personal rights risk to residents in care.
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The staff also agreed to reposition camera outside bedroom #3 and send photo screenshot of the angle in footage showing privacy to bedroom #3. Due to LPA by POC due date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5