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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600546
Report Date: 07/16/2024
Date Signed: 07/16/2024 10:11:35 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
07/08/2024 and conducted by Evaluator Debbie Correia
COMPLAINT CONTROL NUMBER: 08-AS-20240708135401
FACILITY NAME:CAL-CRIS LODGEFACILITY NUMBER:
374600546
ADMINISTRATOR:GLADYS BELTRANFACILITY TYPE:
735
ADDRESS:8944 EMERALD GROVE AVENUETELEPHONE:
(619) 390-8501
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY:10CENSUS: 9DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Caregiver Julita RenojoTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Facility staff did not obtain timely medical care for client's injury.
Facility does not provide transportation for clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Correia conducted an unannounced visit to conclude on investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Caregiver Renojo.

The Department’s investigation consisted of client and staff interviews, and facility file and record review.

It was alleged the facility did not obtain timely medical care for Client 1 (C1) and facility staff did not provide transportation for C1. An interview with C1 revealed there have been occurrences at the facility, such as a fall, that resulted in an injury and facility staff would activate 911, however C1 revealed they had a phobia of ambulances and hospitals and have refused meducal treatment. C1 also revealed instead of transport to the hospital via ambulance they had requested and been denied transportation to see their doctor by facility staff. An interview with Staff 1 (S1) corroborated C1 refused medical treatment when activating 911.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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 2
Control Number 08-AS-20240708135401
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: CAL-CRIS LODGE
FACILITY NUMBER: 374600546
VISIT DATE: 07/16/2024
NARRATIVE
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The interview with S1 revealed C1 had a social worker that would transport C1 to doctor appointments. S1 also revealed the facility had a mobile physician that came to the facility monthly to meet with Clients in care. A facility file review revealed a recent incident that corroborated facility staff called 911 and C1 refused medical treatment. [See LIC 811 for confidential names]

Based on interviews and records reviews, the above-mentioned allegations were determined to be unsubstantiated. This finding means although the allegations may have happened or could be valid there is not a preponderance of evidence to prove that the alleged violations occurred.

LPA conducted an exit interview with Caregiver Renojo and was provided a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) and signature on this report acknowledges receipt of the documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2