374601560-5-3-2021-08-AS-IESA-C3K9EG-20210531231819

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374601560
Report Date: 05/03/2021
Date Signed: 05/03/2021 03:12:29 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
01/05/2021 and conducted by Evaluator Kristina Ryan

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20210105122321

FACILITY NAME:	GLENBROOK ASSISTED LIVING		FACILITY NUMBER:	374601560
ADMINISTRATOR:	HARNESS, SADIE		FACILITY TYPE:	740
ADDRESS:	1950 CALLE BARCELONA		TELEPHONE:	(760) 704-6800
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92009
CAPACITY:	95	CENSUS: 69	DATE:	05/03/2021
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Administrator, Sadie Harness		TIME COMPLETED:	03:01 PM

ALLEGATION(S):

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Staff are accepting tips from residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Kristina Ryan contacted facility Administrator via Face- Time, due to COVID-19, to deliver investigative findings regarding the above- mentioned allegation. LPA identified herself and discussed the purpose of the call with Administrator, Sadie Harness.
Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of a review of facility records and interviews with residents, facility staff, and outside sources.
On January 5, 2021, it was alleged that facility staff were accepting tips from residents. The facility records reviewed revealed that the facilities Plan of Operation and Employee Handbook explicitly forbid staff from accepting gifts or gratuities from residents and their families. Interviews with residents and outside sources revealed that there was a no tipping policy that was enforced by the facility management and facility staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Kristina Ryan	TELEPHONE: (619) 929-1438
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

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-20210105122321

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: GLENBROOK ASSISTED LIVING	FACILITY NUMBER: 374601560
	VISIT DATE: 05/03/2021

NARRATIVE

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Interviews revealed that facility staff were not accepting tips from residents and their families, however; interviews affirmed that the facility did participate in a community wide Resident Gift Fund (Employee Appreciation Fund) that was sponsored by the Resident Council of La Costa Glen. This Resident Gift Fund was established for hourly employees of La Costa Glen, Glenbrook Assisted Living, and Glenbrook Health Center. This yearly fund collected donations for the hourly staff of these facilities and provided the staff with a monetary donation in December of each year. The most recent being December 2020. Interviews with residents and outside sources confirmed that the Resident Gift Fund was solely created by the Resident Council of La Costa Glen and that participation was voluntary and anonymous. Residents advised that they were not coerced into participation in the program. The Resident Council of La Costa Glen is comprised solely of residents. Administrators are invited to participate via virtual meetings to hear the thoughts and grievances and to execute the gift fund. Staff did not participate in the collection of the donations.

The investigation did not reveal evidence that staff are accepting tips directly from residents, were not violating handbook rules, and were not violating residents’ personal rights. There is not a preponderance of evidence to prove the alleged violation occurred. Accordingly, based upon the foregoing, the allegation is unsubstantiated.

An exit interview was conducted, via virtual visit and a copy of this report and Licensee Appeal Rights (LIC 9058 01/16) was provided to Administrator, Sadie Harness via electronic mail. An electronic read receipt verifies receipt of these documents.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Kristina Ryan	TELEPHONE: (619) 929-1438
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

LIC9099 (FAS) - (06/04)

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