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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600566
Report Date: 02/07/2023
Date Signed: 02/07/2023 11:23:57 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/14/2022 and conducted by Evaluator Chinwe Nwogene
COMPLAINT CONTROL NUMBER: 18-AS-20220914152305
FACILITY NAME:REDWOOD TERRACEFACILITY NUMBER:
374600566
ADMINISTRATOR:LEIF CAMERONFACILITY TYPE:
741
ADDRESS:710 WEST 13TH AVENUETELEPHONE:
(760) 747-4306
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:210CENSUS: 153DATE:
02/07/2023
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Brittany Eargle, Director of Wellness and Assisted LivingTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Resident's personal rights are being violated.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met Director of Wellness and Assisted Living, Brittany Eargle and explained the purpose of the visit. During the investigation, LPA interviewed Staff, interviewed Resident, interviewed Resident’s Responsible Party (RP), interviewed Confidential witness, and reviewed Resident file.
Regarding the allegation “Resident's personal rights are being violated”. It was alleged resident is not allowed to leave the facility with friends or anyone other than resident’s family. LPA interviewed staff who acknowledged not allowing resident to be taken out of the facility because Resident’s RP who is also resident’s Power of Attorney (POA) and resident’s family has instructed that resident is not to be taken out of the facility. LPA interviewed Resident’s Responsible Party who acknowledge being resident’s POA and given facility the instruction not to allow resident to leave the facility except with family members. Interview with resident revealed resident goes out of the facility only to visit family. LPA interviewed two confidential witnesses who stated their request to take resident out of the facility for recreational activities was denied by the facility and the POA. LPA reviewed Resident’s file, the file review revealed resident’s RP only has POA for health care decisions.
Based on LPA’s interviews and file review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) are being cited on the attached LIC9099D). An exit interview was conducted, and a copy of this report was reviewed and provided along with appeal rights to Brittany Eargle.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe NwogeneTELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
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 3
Control Number 18-AS-20220914152305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: REDWOOD TERRACE
FACILITY NUMBER: 374600566
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
02/17/2023
Section Cited
CCR
87468.1(a)(6)
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Personal Rights of Residents in All Facilities; Residents in all residential care facilities for the elderly shall have all of the following personal rights

To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night.

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Brittany Eargle stated moving forward resident will be allowed to leave the facility with friends and family.
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This requirement is not met based on LPA's interview, and record review. The licensee did not comply by refusing resident to leave the facility with friends which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe NwogeneTELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/14/2022 and conducted by Evaluator Chinwe Nwogene
COMPLAINT CONTROL NUMBER: 18-AS-20220914152305

FACILITY NAME:REDWOOD TERRACEFACILITY NUMBER:
374600566
ADMINISTRATOR:LEIF CAMERONFACILITY TYPE:
741
ADDRESS:710 WEST 13TH AVENUETELEPHONE:
(760) 747-4306
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:210CENSUS: 153DATE:
02/07/2023
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Brittany Eargle, Director of Wellness and Assisted LivingTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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2
3
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5
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9
Staff are not allowing visitors.
Staff confined resident to room.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation(s). LPA met Director of Wellness and Assisted Living, Brittany Eargle and explained the purpose of the visit. During the investigation, LPA interviewed Staff, interviewed Residents, and interviewed Confidential witnesses.
Regarding the allegation “Staff are not allowing visitors”. It was alleged staff does not allow residents to receive visitors. LPA interviewed staff who denied not allowing residents to receive visitors. Three out of three residents interviewed stated residents receives visitors. Interview with two Confidential witnesses revealed Confidential witnesses have not been denied visitation by staff. Confidential witnesses interview revealed Confidential witnesses have no problem visiting residents.
Regarding the allegation “Staff confined resident to room” LPA interviewed staff who denied confining resident in the room. Staff stated resident participates during activities. Three out of three residents interviewed denied being confined in their rooms. Interview with residents also revealed residents go outside and are not forced to stay in their rooms.
Based on LPA’s interviews there is not enough evidence to support the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Brittany Eargle.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 248-0313
LICENSING EVALUATOR NAME: Chinwe NwogeneTELEPHONE: (951) 202-2066
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3