374600916-2-8-2024-08-AS-SJAB-D2P2XA-20240221164649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600916
Report Date: 02/08/2024
Date Signed: 02/08/2024 02:20:24 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
01/30/2024 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20240130153110

FACILITY NAME:	ALL FOR SENIORS		FACILITY NUMBER:	374600916
ADMINISTRATOR:	CONSUELO BANTING		FACILITY TYPE:	740
ADDRESS:	10251 TRAILS END CIRCLE		TELEPHONE:	(858) 566-6116
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92126
CAPACITY:	6	CENSUS: 5	DATE:	02/08/2024
		UNANNOUNCED	TIME BEGAN:	01:06 PM
MET WITH:	Conseulo Banting, Administrator		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Facility employed staff without criminal record clearance

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced complaint visit to initiate an investigation of the above mentioned allegation. LPA met with Licensee, Consuelo Banting and discussed the elements of the complaint. At the conclusion of the visit, LPA delivered investigative findings to Licensee Banting.

LPA's investigation consisted of LPA observation, interviews with staff and outside sources and review of facility and outside source records. On 1/30/2024, The Department received information that Subject 1 (S1) worked at All for Seniors without criminal record clearance. An outside source record revealed, on October 20, 2023, S1 submitted a LIC9182 Criminal Background Clearance Transfer Request to a licensed facility in San Jose. The form showed that S1 requested to transfer their criminal record clearance from All for Senior. The form included All for Senior's facility number and street address which are consistent with the facility's licensing information.

Outside source interviews revealed that S1 was hired at the San Jose facility on October 23, 2023. During

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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-20240130153110

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ALL FOR SENIORS	FACILITY NUMBER: 374600916
	VISIT DATE: 02/08/2024

NARRATIVE

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a review of licensing records, it was revealed, S1's finger prints were inactive and the clearance transfer was denied. S1 did not have criminal background clearance to work in a licensed care facility. According to interviews with outside sources and an admission by S1, S1 was hired and worked at the San Jose facility without criminal record clearance. Subsequently, the licensed facility received civil penalties due to Title 22 violation related to criminal record clearances. S1 left employment at the facility.

LPA interviewed S1 regarding the aforementioned criminal record clearance where they referenced All for Senior. According to S1, S1 inquired with a friend who worked at All for Seniors in 2023. The friend told S1 to contact the licensee and gave S1 the licensee's telephone number. According to S1 and the licensee, the licensee told S1 to first obtain a criminal background clearance and contact them once it was complete. Admittedly, S1 did not follow through with getting a clearance and was not hired. S1 moved to San Jose where they were hired at the licensed facility previously mentioned. LPA again asked S1 did they ever work at All for Seniors facility and they said they did not.

LPA interviewed the licensee and asked them did S1 ever work at All for Seniors. The licensee said S1 did not apply once they were told to obtain a background clearance. The licensee told LPA they are awaiting the results of S1's criminal record clearance as S1 is currently in the process of applying for a position.

The Department has investigated the allegation that the facility hired staff without criminal record clearance. Based upon record reviews and interviews, there is insufficient evidence to prove the allegation. The Preponderance of Evidence Standard was not met and as such, the allegation is Unsubstantiated.

An exit interview was conducted with Licensee, Banting and a copy of the report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Licensee, Banting, whose signature confirms receipt of receiving the documents.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC9099 (FAS) - (06/04)

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