372008470-11-28-2022-08-AS-DPOL-CLNSAE-20221130124212

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 372008470
Report Date: 11/28/2022
Date Signed: 11/28/2022 04:08:20 PM

Unsubstantiated

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
07/27/2021 and conducted by Evaluator Marisela Garcia-Centeno

COMPLAINT CONTROL NUMBER: 08-AS-20210727091056

FACILITY NAME:	TURNING POINT CRISIS CENTER		FACILITY NUMBER:	372008470
ADMINISTRATOR:	ALEXANDER BAILEY		FACILITY TYPE:	772
ADDRESS:	1738 SO. TREMONT STREET		TELEPHONE:	(760) 439-2800
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92054
CAPACITY:	11	CENSUS: 4	DATE:	11/28/2022
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Assistant Program Director, Laura Cooke		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Facility did not have adequate staffing levels to meet the needs of the clients
Licensee did not allow clients to participate in changes to their plan of care
Licensee did not report to licensing the possession of illegal drugs that threaten the health and safety of clients

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA was greeted by Assistant Program Director, Laura Cooke to whom she identified herself and discussed the purpose of the visit. During the visit, Program Director Sarah Robinson joined the meeting via conference call.

The Department investigated the above listed complaint allegations. The investigation consisted of a tour of the facility, multiple interviews with staff and outside sources, and records review, including client and facility records and other relevant evidence pertinent to this investigation.

On July 27, 2021, Community Care Licensing (CCL) received a complaint alleging that facility did not have adequate staffing levels to meet the needs of the clients. Review of staff work schedules for the period of May, June, July and August 1 - 6, 2021 indicated appropriate number of staff were scheduled to work. Review of records indicated that staffing levels were in compliance with the program operational plan, which serves a capacity of 11 clients. (Continue on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022

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-20210727091056

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: TURNING POINT CRISIS CENTER	FACILITY NUMBER: 372008470
	VISIT DATE: 11/28/2022

NARRATIVE

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(Continue from LIC9099)

The number of staff in the facility was dictated by the client census to ensure clients’ needs were met. Staffing requirements for the facility was to have at least two 2 full time staff members at the facility during all three shifts. The day shift 8 – 4 p.m., staff consisted of a Licensed Vocational Nurse (LVN), 1 – 2 Counselor(s), 2 - 3 staff members, and 1 - 2 members of the management team. The night shift, 4 p.m. – midnight, staff consisted of an LVN, one counselor, and 1 member of the management team or 1 staff member. The overnight shift, midnight - 8 a.m. staff consisted of at least 2 counselors or 1 LVN and 1 counselor. Interviews with staff denied the allegation and maintained staff coverage consistently exceeded required levels during all shifts. Interviews with clients consistently indicated that facility staff provided what they needed, and none of the clients interviewed voiced any concerns regarding not having enough staff to meet their needs. Specific information of dates/times when insufficient staff was present to meet client needs was not provided. There was insufficient evidence to corroborate this allegation.

It was also alleged that Licensee did not allow clients to participate in changes to their plan of care. Per staff interviews, the protocol was to complete the weekly summary progress notes when service plans were reviewed with clients. The service plans were reviewed weekly on Sundays with clients and the service plans were changed if needed to meet clients’ needs based on dialogues with the clients. The clients and staff initialed/signed the changes on the on the back side of the service plans and checked off the box indicating whether they wanted to make changes to their service plans. Review of service plans for 4 of 9 clients in care indicated all changes to the service plans were documented in the summary progress notes and both the client and staff signed the signature page as required. The details of any specific clients allegedly affected by changes in their care plans without their knowledge were not identified. The specific time period or staff involved in making these changes were also not identified. The Department was unable to obtain credible information corroborating this allegation. Interviews with staff indicated they were not aware of any clinical staff making changes to client service plans without involving the clients.

It was also alleged that Licensee did not report to licensing the possession of illegal drugs that threaten the health and safety of clients. Specific details including the dates/times, or the clients/staff involved of when the licensee did not report to CCL the possession of illegal drugs at the facility were not identified.

(Continue LIC9099C)

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20210727091056

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: TURNING POINT CRISIS CENTER	FACILITY NUMBER: 372008470
	VISIT DATE: 11/28/2022

NARRATIVE

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(Continue from LIC9099C)

Per staff interviews during the admission process all clients were required to sign the admissions agreement which states that the facility is a drug free facility and no alcohol, or any other illicit drugs are allowed on the premises at any time. The admissions agreement also indicated that staff have the right to conduct searches of clients’ rooms when necessary. In addition, clients were required to relinquish all unauthorized items on their possession at time of admission including all medications. According to staff statements, and review of personnel procedures if a client was suspected of being under the influence of alcohol/drugs, two staff members were required to conduct a search of client's room and any drugs found were immediately confiscated and turned over to the licensed vocational nurse (LVN) on duty. The LVN properly disposed of all drugs following normal medication disposal procedures. The care team provided proper intervention to client to determine if medical attention is necessary. According to staff statements, all incidents of this nature would be properly documented in the client’s progress notes, the client would get counseled and reminded that illegal drugs are not allowed in the facility. In addition, staff indicated that all incidents were reported to CCL as required per regulation. Staff indicated that there were only two incidents that occurred at the facility involving illicit drugs or alcohol. One occurred during the 4th of July holiday of 2021 when a client was suspected of having drugs and a search was conducted, the drugs were confiscated, and the incident was properly reported to CCL. The other incident was early in January 2022 involving alcohol. Staff confiscated alcohol from a client, and this incident was also properly reported to CCL. Interviews with staff indicated they were not aware of any incidents involving drugs that were not reported to CCL. The Department was unable to obtain corroborating evidence to support this allegation.

Based on the results of the investigation, which consisted of observations, interviews with key staff and outside sources, and review of pertinent client and facility records there was insufficient evidence to support the allegations listed in this report. Therefore, these allegations are unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence that the alleged violations occurred.

An exit interview was conducted with Assistant Program Director, Laura Cooke, to whom a copy of this report and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 11/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022

LIC9099 (FAS) - (06/04)

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