374601005-5-24-2024-08-AS-SJAB-D5PUXD-20240528155811

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601005
Report Date: 05/23/2024
Date Signed: 05/24/2024 08:59:35 AM

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
01/05/2021 and conducted by Evaluator Alyssa Ramirez

COMPLAINT CONTROL NUMBER: 08-AS-20210105122026

FACILITY NAME:	VETERANS HOME CHULA VISTA		FACILITY NUMBER:	374601005
ADMINISTRATOR:	CAROL BRANSHAW		FACILITY TYPE:	740
ADDRESS:	700 EAST NAPLES COURT		TELEPHONE:	(619) 205-1488
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY:	55	CENSUS:	DATE:	05/23/2024
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Administrator Kathryn Gabriel		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are not following physician’s orders
Staff are not properly trained
Staff did not safeguard resident’s property

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Administrator Kathryn Gabriel and discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency.

It was reported to CCL that staff are not following physician’s orders, staff are not properly trained, and staff do not safeguard resident’s property.

[Continued on LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alyssa Ramirez	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

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-20210105122026

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: VETERANS HOME CHULA VISTA	FACILITY NUMBER: 374601005
	VISIT DATE: 05/23/2024

NARRATIVE

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[Continued from LIC 9099]

Regarding the allegation, staff are not following physician’s orders, it was reported that C1 perceived neglect due to lack of communication from medical providers regarding medication and lab results. Interviews with residents revealed no concern for staff not following doctors orders. Interviews with facility staff revealed no concerns for staff not following doctor’s orders and all reported that they follow all doctor’s order’s. Interview with outside source reported no concerns for the facility.

Regarding the allegation, staff are not properly trained, C1 reported that they are being over medicated and staff are under-trained. Interviews with residents revealed no issues surrounding medication and no concerns for staff. Interviews with facility staff revealed that all staff are properly trained. Interview with outside source reported no concerns for the facility.

Regarding the allegation, staff do not safeguard resident’s property, C1 reported that personal belongings were being stolen. Interviews with current residents revealed no concerns for missing belongings. Interviews with facility staff also revealed no concerns for resident’s personal belongings not being safeguarded. Interview with outside source reported no concerns for the facility.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today.

An exit interview was conducted with Administrator Kathryn Gabriel. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Administrator whose signature below verifies receipt of these rights.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alyssa Ramirez	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024

LIC9099 (FAS) - (06/04)

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