374600488-6-10-2021-08-AS-IESA-C7D25S-20210930170601

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600488
Report Date: 05/27/2021
Date Signed: 06/10/2021 07:41:22 AM

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
05/12/2021 and conducted by Evaluator Christina Hadley

COMPLAINT CONTROL NUMBER: 08-AS-20210512102137

FACILITY NAME:	CASA DE LAS CAMPANAS		FACILITY NUMBER:	374600488
ADMINISTRATOR:	KIMBERLY FINCH-DOMINY		FACILITY TYPE:	741
ADDRESS:	18655 WEST BERNARDO DRIVE		TELEPHONE:	(858) 451-9152
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92127
CAPACITY:	582	CENSUS:	DATE:	05/27/2021
		UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Mr. Chris Burk, Executive Director		TIME COMPLETED:	09:13 AM

ALLEGATION(S):

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Personal Rights - Community failed to comply with H&SC section 1771.7 with regards to the Resident Satisfaction Survey.

INVESTIGATION FINDINGS:

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Christina Hadley conducted an investigation into the factors surrounding the allegation mentioned above. Docments were reviewed and interviews were conducted.

Although H&SC Section 1771.7(D)(2) requires that the provider biennially conduct a resident satisfaction survey, it does not detail the scope of the categories in which the survey should cover. Typically, the provider utilizes an outside vendor company to prepare the survey which captures items such as maintenance, buildings and grounds, communication, services rendered, etc, and that is what has been expected, but not necessarily required by statute.

While this satisfaction survey conducted in 2019 did have more of a focus on the dining program, it also asked a variety of questions of the residents regarding their overall satisfaction with Casa, their sense of safety, their satisfaction with their needs being met, as well as if they would recommend the community to others.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Allison Nakatomi	TELEPHONE: (916) 531-5336
LICENSING EVALUATOR NAME: Christina Hadley	TELEPHONE: (916) 6517853
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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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