374600800-8-28-2024-08-AS-SJAB-D8MRVC-20240830132116

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600800
Report Date: 08/28/2024
Date Signed: 08/28/2024 01:43:26 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
06/08/2022 and conducted by Evaluator Iby Strong

COMPLAINT CONTROL NUMBER: 08-AS-20220608142718

FACILITY NAME:	WESLEY PALMS		FACILITY NUMBER:	374600800
ADMINISTRATOR:	GESKE, BEN		FACILITY TYPE:	740
ADDRESS:	2404 LORING STREET		TELEPHONE:	(858) 274-4110
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92109
CAPACITY:	511	CENSUS: 315	DATE:	08/28/2024
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director of Human Resource Claudia Rubio		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Licensee did not provide residents with reappraisals
Staff did not assist residents with incontinence care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to continue an investigation on the above allegations. LPA identified herself and discussed the purpose of the visit with Director of Human Resources Claudia Rubio.

On June 8, 2022, Community Care Licensing (CCL) received a complaint alleging licensee did not provide residents with reappraisals and staff did not assist residents with incontinence care. During the investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews.

According to the allegation, the licensee did not provide Resident 1 (R1) and Resident 2 (R2) with reappraisals after aggressive behaviors. Based on R1’s Physician Report dated May 28, 2021, R1 is known to have aggressive behaviors. Additionally, R1’s needs plan states that R1 can become easily agitated and is known to have physical aggression.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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-20220608142718

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: WESLEY PALMS	FACILITY NUMBER: 374600800
	VISIT DATE: 08/28/2024

NARRATIVE

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Based on R2’s needs plan, R2 can be occasionally aggressive toward staff. Interview with staff present during the time in question revealed R1 and R2’s behaviors were known and did not require additional reappraisal. Interview with Director of Health Services revealed that residents in assisted living and memory care receive quarterly reappraisals and if there a change in condition a medical reappraisal would be provided immediately. Records corroborated that both R1 and R2’s behaviors were known prior to report. Interview with outside source did not corroborate that residents are not provided with reappraisals. .

It was also alleged that staff were not providing incontinence care for residents in memory care. Interview with multiple staff revealed that residents who are incontinent are changed every two hours by care staff. Interview with Memory Care Manager revealed that all residents are checked on every two hours. Interview with outside source could not corroborate that residents in memory care are not provided timely incontinence care. Interview with residents in care corroborated that residents are checked for incontinence needs multiple times per day.

Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Director of Human Resources Claudia Rubio, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC9099 (FAS) - (06/04)

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