372008416-7-6-2023-08-AS-LTEZ-CU5MBR-20230727092823

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372008416
Report Date: 07/06/2023
Date Signed: 07/06/2023 03:37:05 PM

Substantiated

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
06/29/2023 and conducted by Evaluator Rebecca A Ruiz

COMPLAINT CONTROL NUMBER: 08-AS-20230629163557

FACILITY NAME:	VIA CALLADO		FACILITY NUMBER:	372008416
ADMINISTRATOR:	TYRONE POWELL		FACILITY TYPE:	735
ADDRESS:	772 VIA CALLADO		TELEPHONE:	(760) 730-5082
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92057
CAPACITY:	6	CENSUS: 5	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Administrator Tryone "Aaron" Powell		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Dangerous items were accessible to clients
Facility grounds were not kept clean

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to open and close an investigation regarding the above-mentioned allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Administrator Tyrone "Aaron" Powell. Assistant Administrator Maria DeGuzman arrived during the visit.

During today's visit, LPA toured the facility, observed clients in care, reviewed and obtained copies of facility records, and interviewed staff.

The Department's investigation consisted of interviews with staff and outside sources, records review, and a tour of the facility. It was alleged that dangerous items were accessible to clients and the facility was not kept clean. Interviews revealed that around 2 months ago, construction began on the Administrator's private room located at the back of the facility.
Continued on LIC9099-C page...

Substantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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-20230629163557

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: VIA CALLADO	FACILITY NUMBER: 372008416
	VISIT DATE: 07/06/2023

NARRATIVE

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Interviews and records review revealed that there were multiple days where construction supplies such as opened paint cans, wood stain, lumber, and nails and screws were stored in the backyard of the facility. There was an unsecured cabinet in the garage that contained paint cans and cleaning supplies as well as unsecured detergent above the washer and dryer in the garage. Additional items were stored within the Administrator's room under construction such as power tools, dry wall, and insulation. Interviews revealed that the room was a designated emergency exit and was unlocked and accessible to clients. Interviews revealed that the Administrator would lock the room during the night, but would leave the room unlocked during the day. During today's visit, LPA Ruiz observed the Administrator's room unlocked and contained construction supplies such as dry wall. LPA also observed alcoholic beverages inside the Administrator's unlocked private refrigerator. Interviews revealed that the Administrator owned two dogs that resided on the facility property and would use the backyard to relieve themselves. Interviews revealed that in June 2023, there was at least one occasion where the backyard was not cleaned of dog feces or urine for at least two days, resulting in a strong feces and urine odor that resulted in the clients being unable to open their windows due to the smell.

During today's visit LPA Ruiz observed dangerous or toxic items in the garage and backyard were locked and inaccessible to clients in care. Interviews revealed that the Administrator had cleaned the backyard of dog feces and there was no strong odor of dog feces or urine during the time of the LPA's visit.

The Department has investigated the above-mentioned allegations and based on interviews, records review, and LPA observations, the preponderance of the evidence has been met, therefore, these allegations are deemed substantiated. The following deficiencies are cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page.

An exit interview was conducted with Administrator Tyrone "Aaron" Powell, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20230629163557

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: VIA CALLADO	FACILITY NUMBER: 372008416
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/06/2023 Section Cited CCR 80087(a)	1 2 3 4 5 6 7	80087 Building and Grounds (a) the facility shall be clean, safe, sanitary, and in good repair at all times... This requirement has not been met as evidenced by:	1 2 3 4 5 6 7	During today's visit, LPA observed the backyard free from dog feces and did not observe a foul odor. Administrator stated he will clean up after the dogs every time they go outside and had purchased cleaning supplies for the dogs.
	8 9 10 11 12 13 14	Based on interviews and records review, the Administrator did not ensure the facility was kept clean and in good repair. This poses a potential health and safety risk to 5 of 5 clients in care.	8 9 10 11 12 13 14	DEFICIENCY CLEARED DURING TODAY'S VISIT.
Type B 07/06/2023 Section Cited CCR 80087(g)	1 2 3 4 5 6 7	80087 Building and Grounds (g) disinfectants, cleaning solutions, poisons... and other items that could pose a danger... shall be stored where inaccessible to clients. This requirement has not been met as evidenced by:	1 2 3 4 5 6 7	Administrator stated that he will lock the door between the facility and his private room and will use the outdoor room to gain entry. LPA observed the Administrator lock the door prior to leaving the facility.
	8 9 10 11 12 13 14	Based on interviews, records review, and LPA observations, the Licensee did not ensure that items that pose a danger to clients were not accessible. This poses a potential safety concern to 5 of 5 clients in care.	8 9 10 11 12 13 14	DEFICIENCY CLEARED DURING TODAY'S VISIT.

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: Lizzette Tellez
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

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