374601097-3-20-2023-08-AS-DPOL-CQEQPE-20230330122036

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601097
Report Date: 03/20/2023
Date Signed: 03/20/2023 06:07:15 PM

Unsubstantiated

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
09/09/2022 and conducted by Evaluator Marisela Garcia-Centeno

COMPLAINT CONTROL NUMBER: 08-AS-20220909160015

FACILITY NAME:	CASA DEL SOL		FACILITY NUMBER:	374601097
ADMINISTRATOR:	VIDA DACANAY		FACILITY TYPE:	740
ADDRESS:	4290 LAYLA WAY		TELEPHONE:	(619) 662-1979
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92154
CAPACITY:	6	CENSUS: 5	DATE:	03/20/2023
		UNANNOUNCED	TIME BEGAN:	11:25 AM
MET WITH:	Administrator, Vida Dacanay		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff hit resident
Staff physically abused resident(s)
Staff did not provide the dietary meal quantity to meet residents' needs

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA was greeted by, identified herself to, and discussed the purpose of the visit with Caregiver, Alma Jaramillo. Administrator, Vida Dacanay joined the meeting a bit later.

The Department investigated the above listed complaint allegations. The investigation consisted of a tour of the facility, multiple interviews with residents, staff and outside sources, and facility records review.

On September 9. 2022, Community Care Licensing (CCL) received a complaint alleging that a facility staff (S1) member hit a resident (R1). [an LIC 811 Confidential Names List was provided to staff to identify the Resident (R1) and Staff (S1)]. It was specifically alleged that S1 hit R1 on the buttocks during incontinence care because R1 was resisting care.

(Continue at LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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 2

Control Number 08-AS-20220909160015

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: CASA DEL SOL	FACILITY NUMBER: 374601097
	VISIT DATE: 03/20/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(Continue from LIC9099)

It was also alleged that S1 put a pillow over R1’s face because they were making noises. The dates and times of when these alleged incidents occurred were not identified and there were no reported injuries. Staff S1 denied the allegations and according to outside source statements, there were no witnesses to corroborate either of the incidents. During a visit at the facility conducted on September 15, 2022, four (4) of five (5) residents in care were observed to be alert, dressed appropriately with no visible signs of neglect or physical abuse. Interviews with residents, staff and outside sources consistently indicated that they had never witnessed any staff member physically abusing any of the residents. Review of resident and facility records disclosed no reported incidents of injuries or abuse concerns during the time period of this complaint. There was insufficient evidence to support the allegations that staff hit or otherwise abused residents.

It was also alleged that staff did not provide the dietary meal quantity to meet residents' needs. During the visit conducted on September 15, 2022, three (3) of the four (4) residents in care communicated what they ate for breakfast and lunch the day of the visit and the day prior to the visit. The meals provided to the residents were consistent with what the caregivers indicated they had served and with the sample menu posted at the facility. The residents in care looked healthy and well-nourished. During interviews, the residents consistently stated they got three meals a day plus snacks twice a day. In addition, the residents consistently stated they had never been denied food and they had access to food and snacks during the day. The refrigerators (2) and the pantry were observed to have supplies of nonperishable foods for one week and perishable foods for two days as required per Title 22 regulations. Interviews with outside sources voiced no concerns regarding the quantity of food being provided to the residents in care. Outside sources also indicated that the residents had not complained about being hungry. Interviews with staff indicated that they purchased groceries once or twice a week and more often as needed.

Due to a lack of evidence, all three allegations are deemed to be unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence that the alleged violations occurred.

An exit interview was conducted with Administrator, Vida Dacanay to whom a copy of this report, LIC 811 and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2