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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372008470
Report Date: 11/28/2022
Date Signed: 11/28/2022 04:14:33 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
07/27/2021 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20210727090200
FACILITY NAME:TURNING POINT CRISIS CENTERFACILITY NUMBER:
372008470
ADMINISTRATOR:ALEXANDER BAILEYFACILITY TYPE:
772
ADDRESS:1738 SO. TREMONT STREETTELEPHONE:
(760) 439-2800
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:11CENSUS: 4DATE:
11/28/2022
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Assistant Program Director, Laura CookeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Licensee did not follow food storage requirements to ensure the health and safety of clients.
Licensee did not provide a clean and in good repair refrigerator to accommodate the storage of perishables.
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 licensee did not follow food storage requirements to ensure the health and safety of clients. On August 6, 2021 during a tour of the facility, it was observed that there were several frozen items stored in the freezer that had various expiration dates in 2019 and 2020. In addition, the food pantries located in the kitchen had expired canned food and oatmeal containers. (Continue to LIC9099C)
Substantiated
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)
Page: 1 of 7
Control Number 08-AS-20210727090200
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 pantries were kept locked and were inaccessible to clients. Staff indicated that each day the food necessary to meet the clients’ needs is taken out from the pantries and placed out in the open area where it is accessible to clients. An adequate supply of food to meet the clients’ needs was observed set out on the dining table and on top of the kitchen counters. Three clients were observed making lunch and it appeared the clients had the necessary food ingredients to make lunch as scheduled per the daily menu. Staff were observed assisting in the meal preparation by taking out the food necessary from the pantry and refrigerators for the meal that was being prepared for lunch.

A total of four large refrigerators were observed in the kitchen, of which two were locked and inaccessible to clients. Staff explained that in an effort to ration food supply and to ensure food was available for meal preparation, two of the four refrigerators were kept locked. Each day, the food necessary to fulfill each day's needs was taken out of the locked refrigerators and moved into the two refrigerators that were unlocked and accessible to clients. During interviews, staff indicated that although the refrigerator and the food pantries was restocked twice a week and the procedure was to clean and throw away food remains and food beyond expiration dates, the expired frozen food and shelved items in the pantry were missed. Based on observations and staff interviews there was sufficient evidence to support the allegation.

It was also alleged that licensee did not provide a clean and in good repair refrigerator to accommodate the storage of perishables. August 6, 2021, during a tour of the facility’s kitchen area, one of the two unlocked refrigerators was observed with various food items that were spoiled and/or left-over food remains. The refrigerator was also observed to be messy with food spills and stains that were dried up and stuck to the surface, indicating they had been there for an extended period of time. Although the refrigerator had a broken shelf, the refrigerator temperature was in good working order and there was enough refrigeration space to meet the clients’ needs as the facility had a total of four refrigerators available to accommodate the storage of perishables. Staff indicated that the Daily Facility Safety and Bedroom Checklist included a section specifically dedicated for kitchen and dining room cleaning tasks.

(Continue to 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)
Page: 2 of 7
Control Number 08-AS-20210727090200
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)

The checklist included making sure leftovers are in closed containers and labeled. All food items not in closed containers were supposed to be discarded and the refrigerator cleaned each day. Staff indicated that although cleaning the refrigerator was part of the checklist, it appeared the staff assigned to the task did not do a thorough job. Based on observations, there was sufficient evidence to support the allegation. Therefore, this allegation is substantiated.

The Department has investigated the above-mentioned allegations and has found that there was sufficient evidence to corroborate the above allegations. Therefore, these allegations are deemed to be substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies were cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations and are listed on LIC 9099-D. A plan of corrections was developed with Assistant Program Manager, Laura Cooke and Program Director, Sarah Robinson.

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)
Page: 3 of 7
Control Number 08-AS-20210727090200
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/28/2022
Section Cited
CCR
81076(a)(1)
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81076(a)(1) FOOD SERVICE. All food shall be safe and of the quality and in the quantity necessary to meet the needs of the clients. This requirement was not met as evidenced by:

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Program Director will conduct additional training in food service to all staff to ensure food follows safety requirements. Program Director will submit training records to CCL with completed training by POC date of 12/28/2022.
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Based on observations and staff interviews, licensee did not follow food safety. This posed a potential health risk to 9 of 9 clients in care.
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Program Director will conduct additional training in food service to all staff to ensure refrigerators are clean as required. Program Director will submit training records to CCL with completed training by POC date of 12/28/2022.
Type B
12/28/2022
Section Cited
CCR
81076(d)(4)
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81076(d)(4)FOOD SERVICE. Freezers and refrigerators shall be kept clean…

This requirement was not met as evidenced by:
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Based on observations and staff interviews, licensee did not maintain a clean refrigerator. This posed a potential health risk to 9 of 9 clients in care.
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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: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 11/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/28/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 7
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-20210727090200

FACILITY NAME:TURNING POINT CRISIS CENTERFACILITY NUMBER:
372008470
ADMINISTRATOR:ALEXANDER BAILEYFACILITY TYPE:
772
ADDRESS:1738 SO. TREMONT STREETTELEPHONE:
(760) 439-2800
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY:11CENSUS: 4DATE:
11/28/2022
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Assistant Program Director,Laura CookeTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility staff did not ensure disinfectant and cleaning items that pose danger were inaccessible to clients.
Staff did not maintain the facility clean and in good repair to ensure the health and safety of clients.
Facility did not have necessary hygiene products for 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 staff did not ensure disinfectant and cleaning items that pose danger were inaccessible to clients. During a tour of the facility on August 6, 2021, an ample supply of cleaning and disinfectants items were observed stored at the facility. There were two different storage areas designated for cleaning supplies and both were observed to be locked. (Continue to 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)
Page: 5 of 7
Control Number 08-AS-20210727090200
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)
To ensure the health and safety of the clients in care, during interviews, staff consistently stated that clients are allowed to check out certain cleaning and disinfectants items but are required to return the items after each use. This procedure was confirmed with three of the six clients interviewed. The clients consistently indicated that they were allowed check out cleaning items but that they were required to return the items promptly after each use. If the items were not returned at the time agreed upon, staff would retrieve the items from clients. Clients were instructed to safeguard the cleaning supplies at all times while in their possession. The clients also stated they had access to laundry detergent and the use of the washer and dryer as needed as long as it was available. No deficiencies were observed during the visit regarding disinfectants or any other cleaning supplies left accessible to clients. There was no evidence to support the allegation.

It was also alleged that staff did not maintain the facility clean and in good repair to ensure the health and safety of clients. During the tour of the facility conducted on August 6, 2021, the facility was observed to be clean, organized, and free from clutter and bad odors. The kitchen sink was free from dirty dishes, the cabinets were adequately clean inside and out. The floors appeared to be freshly mopped. There were four bathrooms, and two of the bathrooms had shower facilities. The bathrooms were observed to be clean and in good repair, equipped with hand soap, hand sanitizer and paper towels. Showers stalls were equipped with shampoo and body soap. The trash cans had lids. The facility had six bedrooms, five bedrooms were for double occupancy and one bedroom was single occupancy. The bedrooms were observed in good order and they were equipped with the required furnishings. No safety hazards were observed inside or outside the facility.

In addition, the maintenance cleaning service agreement was reviewed which had been in place since March 18, 2020. The cleaning service agreement was confirmed to be active with the owner of the cleaning service. According to the agreement, the facility was provided weekly cleaning services that included general cleaning of client rooms, office areas, entrance, hallways, lobby, and common areas. In the kitchen and dining areas the cleaning service included cleaning the interior and exterior of all appliances, refrigerator, stove, oven range hood, dish washer and microwave. In addition, the maintenance agreement stated that all appliance malfunctions were to be reported to program director at once. Per program director there have not been any problems with any of the appliances needing repair. All appliances were observed to be functional and in good repair. (Continue from 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)
Page: 6 of 7
Control Number 08-AS-20210727090200
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)

Per staff and client interviews, daily chores were divided among the staff and clients help as well. For instance, clients were responsible for cleaning their rooms, making their own beds, and doing their own laundry. The daily chores were reviewed with clients at the time of admission. When clients refused or were not able to complete their assigned chores staff were required to complete the chores as required. No deficiencies were noted in this area during the investigation.

Furthermore, it was alleged that facility did not have necessary hygiene products for clients. During the tour of the facility conducted on August 6, 2021, two large storage areas were observed with an ample supply of hygiene items. The storage areas for hygiene items were locked and inaccessible to clients. To ensure the health and safety of high-risk clients, certain hygiene items were restricted, such as razors and mouthwash. Per staff statements, hygiene items were purchased from three different vendors once or twice per week to meet client needs. The night crew was responsible for completing an inventory overnight, based on the inventory, the assigned staff member as well as the program director were responsible for purchasing what was needed to meet the clients’ needs. Certain hygiene items were purchased twice a week because the demand was high on those products, such as paper towels, tissue paper, and some toiletries. Review of purchase invoices for the month of June, July and August of 2021 confirmed that an adequate supply of hygiene items was purchased each week. During interviews, clients did not raise any concerns about not having the hygiene products they needed. Based on observations, interviews with staff, clients and outside sources and review of records, there was insufficient 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. 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)
Page: 7 of 7