374600546-7-6-2023-08-AS-SJAB-CU2TX5-20230724150634

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600546
Report Date: 07/06/2023
Date Signed: 07/06/2023 08:05:59 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
07/05/2023 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20230705150033

FACILITY NAME:	CAL-CRIS LODGE		FACILITY NUMBER:	374600546
ADMINISTRATOR:	GLADYS BELTRAN		FACILITY TYPE:	735
ADDRESS:	8944 EMERALD GROVE AVENUE		TELEPHONE:	(619) 390-8501
CITY:	LAKESIDE	STATE: CA	ZIP CODE:	92040
CAPACITY:	10	CENSUS: 9	DATE:	07/06/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Caregiver Julita Renojo		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

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Staff neglect resulting in client use of an illegal substance at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Correia conducted an unannounced visit to commence and deliver investigative findings on the above-mentioned allegation. LPA identified herself and discussed the purpose of the visit to Caregiver Renojo.

The Department’s investigation consisted of client and staff interviews. The investigation also consisted of client record review.

It was alleged staff neglect resulted in illegal substance use by Client (C1) in care. A client record review revealed C1 is able to leave the facility unassisted. An interview with facility Staff 1 (S1) revealed C1 will leave the facility multiple times a day and return intoxicated. S1 revealed they have never witnessed C1 consume alcohol or use illegal substances while at the facility, but could smell alcohol on their breath. An interview with Client 2 (C2) revealed C1 announced their use of illegal substances while sitting outside of the facility's backyard, but C1 was never witnessed using drugs. Client interviews also corroborated C1 leaves the facility when allegedly drinking and/or using and returns under the influence. Interviews also revealed no complaints regarding the facility staff, and reported them to be very helpful and felt the staff treat them well.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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-20230705150033

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: CAL-CRIS LODGE	FACILITY NUMBER: 374600546
	VISIT DATE: 07/06/2023

NARRATIVE

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Due to lack of corroborating evidence, the finding regarding the above allegation was established to be unsubstantiated. This finding means although the allegation may have happened or could be valid there is not a preponderance of evidence to prove that the alleged violation occurred.

LPA conducted an exit interview with Caregiver Renojo. At the time of the exit interview Caregiver Renojo was advised a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) will be provided and signature on this report acknowledges receipt of the documents.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC9099 (FAS) - (06/04)

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