374600566-1-23-2021-08-AS-DPOL-BYLKZT-20210226072114

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600566
Report Date: 07/28/2020
Date Signed: 01/23/2021 04:24:07 PM

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
03/03/2020 and conducted by Evaluator Evangelica Torres

COMPLAINT CONTROL NUMBER: 08-AS-20200303120321

FACILITY NAME:	REDWOOD TERRACE		FACILITY NUMBER:	374600566
ADMINISTRATOR:	NORDEN, KURT C		FACILITY TYPE:	741
ADDRESS:	710 WEST 13TH AVENUE		TELEPHONE:	(760) 747-4306
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY:	210	CENSUS: 140	DATE:	07/28/2020
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Executive Director, Leif Cameron		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Insufficient staff to meet the needs of the residents
Licensee violated resident's personal rights
Unlicensed staff providing licensed care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Eva Torres conducted a virtual visit via FaceTime to deliver findings on the above allegations due to COVID-19. LPA identified herself, spoke with Executive Director, Leif Cameron, and disclosed the purpose of the phone call. The investigation included a review of facility and outside source’s records, as well as interviews conducted. It was alleged that there is insufficient staff to meet the needs of the residents, and that there were unqualified staff providing licensed care to residents. Also, it was alleged that the resident’s rights were being violated by staff. On March 09, 2020, LPA Torres conducted an on-site visit and reviewed a random sampling of staff and resident’s records. During the review, LPA found the records to be current and consistent in meeting the resident’s needs, as some residents also received additional support from outside agencies. Moreover, the records confirmed that the residents who were identified as requiring a higher level of care were relocated within a timely manner of their reassessments. Furthermore, staff schedules reflected sufficient staffing in meeting the resident’s needs, and their training records were found to be compliant with Title 22 regulation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Evangelica Torres	TELEPHONE: (619) 990-1407
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2021

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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Control Number 08-AS-20200303120321

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: REDWOOD TERRACE	FACILITY NUMBER: 374600566
	VISIT DATE: 07/28/2020

NARRATIVE

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Residents and their responsible parties were interviewed, and their interviews did not support either of the allegations. LPA interviewed several staff members and their interviews produced inconsistencies, as some denied all allegations, while others provided unclear information to support the allegations.

Based on interviews conducted and a review of documents, there is insufficient evidence to prove or disprove that the allegations occurred; therefore, the complaint investigation findings are found to be unsubstantiated.
An exit interview was conducted with Executive Director, Leif Cameron, and the Licensee’s Rights (LIC9058 01/16) along with a copy of this report was provided to Executive Director via email. A reply email or return receipt from the Executive Director will confirm receipt of documents. This is an amended version of the original report documented on 07/28/20.

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Evangelica Torres	TELEPHONE: (619) 990-1407
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2021

LIC9099 (FAS) - (06/04)

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