374600488-11-8-2024-08-AS-SGRE-DATPSP-20241108103437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600488
Report Date: 09/20/2023
Date Signed: 11/08/2024 09:49:55 AM

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
07/18/2023 and conducted by Evaluator Jennifer Houston

COMPLAINT CONTROL NUMBER: 08-AS-20230718163927

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:	09/20/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Kim Dominy and Dave Johnson		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Licensee did not provide adequate notice for fee increase

INVESTIGATION FINDINGS:

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Complainant alleges that the Provider did not provide adequate notice of fee increase to residents which is in violation of Health & Safety Code (H&SC) §1771.8(d).

The Department interviewed the complainant, Bob Lange, former Resident Representative, and Kim Dominy, Executive Director – CdlC on July 17, 2023, July 18, 2023 and August 3, 2023, respectively and received the following documents:
• Letter to CCRC residents dated 6/30/23 notifying of MCFI increase
• Letter to non-CCRC residents dated 7/1/23 notifying of MCFI increase
• Memo to residents dated 6/16/2023 notifying of 2023-2024 Budget Presentation Meeting
• Budget Calendar Draft 2024
• Budget Presentation 2023-2024
• Resident Forum Summary dated 7/17/2023

Upon completion of review of information provided and interviews conducted, it was observed that the providers did notify the CCRC residents of the upcoming MCFI during the 2023-2024 Budget Presentation Meeting that was held on June 30, 2023. During the meeting the residents were also given a memo as of the same date outlining the amount of increase and implementation date which was August 1, 2023. This date complies with the 30-day requirement as set for by H&SC §1771.8(d). Additionally, the department was informed that there were two residents that did not fall under CCRC statutes (month-to-month agreements) and they received written notification on July 1, 2023 with an effective date of September 1, 2023, which complies with H&SC 1569.655. (a)/(d).

Based on the review and investigation the Department finds the allegation “unsubstantiated”.

Complaint finding were delivered via Teams and LIC 9099 was signed and emailed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Allison Nakatomi	TELEPHONE: (916) 531-5336
LICENSING EVALUATOR NAME: Jennifer Houston	TELEPHONE: (916) 651-7847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

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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