374600188-10-24-2023-08-AS-SJAB-CX5MVY-20231031095731

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600188
Report Date: 10/24/2023
Date Signed: 10/24/2023 12:37:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
08/21/2023 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20230821091036

FACILITY NAME:	AQUINO'S QUALITY HOMECARE		FACILITY NUMBER:	374600188
ADMINISTRATOR:	FELICIDAD M. AQUINO		FACILITY TYPE:	735
ADDRESS:	598 IVY COURT		TELEPHONE:	(619) 482-6897
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY:	6	CENSUS: 5	DATE:	10/24/2023
		UNANNOUNCED	TIME BEGAN:	11:25 AM
MET WITH:	Eufrosina Hernandez		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Licensee yells at clients in care.
Licensee did not ensure that client was taken to doctor.
Licensee not providing clients' P & I funds.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Caregiver Eufrosina Hernandez, to whom LPA explained the purpose of the visit.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of review of records and interviews.

It was alleged that the licensee refused to take Client 1 (C1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the client) to their medical appointment. It was also alleged that facility staff do not promptly give clients their P&I funds and facility staff also yell at the clients in care. LPA interview with C1 on August 25, 2023 revealed C1 is hoping to move out of the facility in the near future since C1 stated they do not have a good relationship with the Administrator.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

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-20230821091036

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: AQUINO'S QUALITY HOMECARE	FACILITY NUMBER: 374600188
	VISIT DATE: 10/24/2023

NARRATIVE

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C1 spoke at length regarding the allegations and reiterated that the Administrator did not; take C1 to their medical appointments, provide C1 with their P&I funds when requested and yelled at C1 at the facility.

Interview with facility staff revealed they have never witnessed any staff yell at the clients in care. Facility staff stated that both of the Administrators regularly take clients to their medical appointments. Facility staff stated that the P&I funds are quickly dispersed after the client has requested the funds from staff. Staff further stated that usually a client will ask for their funds prior to going on an "outing" and staff will then disperse the money to the client and log it in on the P&I form.

Interview with outside agency revealed they have worked closely with C1 for over two years and have found that C1's comments should be taken with a "grain of salt." Outside agency stated that they have never witnessed or received any complaints from clients in care regarding staff yelling at them but they have witnessed C1 be disrespectful to others. Outside agency stated that they review the P& I funds at the facility every three months and have never found any inaccuracies. Outside agency further stated that C1 was often times at a "zero balance" since C1 would always spend all of their funds. Outside agency stated that facility staff do in fact take the clients to their medical appointments.

Interview with Administrator revealed that during C1's time at the facility C1 would often yell and curse at staff and clients when C1 did not get their way. Administrator stated that staff regularly provide clients transportation for all medical appointments and on the occasions that staff could not take them, they were provided with a "Lyft" car service which would be paid for by the facility. In regards to the P&I funds, administrator stated that staff disperse the funds to all clients in a timely manner. Administrator further stated that as soon as the P&I funds would post to the bank C1 would request the funds be immediately transferred via "Zelle" to C1's father.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid.

An exit interview was conducted with Eufrosina Hernandez. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Eufrosina Hernandez whose signature below verifies receipt of these rights.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

LIC9099 (FAS) - (06/04)

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