374602179-5-24-2023-08-AS-DPOL-CSBUQL-20230530154720

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602179
Report Date: 05/24/2023
Date Signed: 05/24/2023 01:40:05 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
05/01/2023 and conducted by Evaluator Carmen Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20230501152520

FACILITY NAME:	TENDER LOVING CARE GUEST HOME		FACILITY NUMBER:	374602179
ADMINISTRATOR:	VICTORIA S. LEGASPI		FACILITY TYPE:	740
ADDRESS:	1430 SHERYL LN		TELEPHONE:	(619) 399-3552
CITY:	NATIONAL CITY	STATE: CA	ZIP CODE:	91950
CAPACITY:	6	CENSUS: 5	DATE:	05/24/2023
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Victoria Legaspi, Administrator		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Staff did not address drug activity at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigative findings for a complaint investigation regarding the above allegation. LPA identified herself and was granted entry by Victoria Legaspi, Administrator. LPA stated the purpose of the visit and reviewed the findings of the complaint with Victoria Legaspi, Administrator.

The Department’s investigation consisted of interviews with staff, residents and outside sources, and records review of relevant documents pertinent to this investigation. On May 1, 2023, it was alleged that the facility staff did not address drug activity at the facility.

It was specifically alleged that resident #1 (R1, see LIC 811 for disclosure of resident name) obtained and used illegal drugs while in care of the facility. Interview with an outside source said that the resident disclosed using an illegal drug while residing at the facility. According to the outside source, the resident had obtained the illegal drug from another unidentified resident #2 (R2) while at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023

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-20230501152520

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: TENDER LOVING CARE GUEST HOME	FACILITY NUMBER: 374602179
	VISIT DATE: 05/24/2023

NARRATIVE

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Interview with staff said that they had not witnessed illegal substances being used at the facility. Interview with Licensee said they were aware R2 used illegal substances outside the facility but were unaware they used any illegal substance at the facility. According to Licensee, R2 walked to a nearby park and upon their return to the facility, R2 was observed as not at their baseline and in an altered state. Licensee said that R1 did not have issues that they were aware of with using illegal substances at the facility. A review of records revealed that R1 did use an illegal substance on or about April 28, 2023, and had elevated levels in lab results. Additional records showed that R1’s physical health status was extensive but did not have current substance abuse. Further records indicated that R1 did have substance abuse history. Records showed R1 was able to leave the facility unassisted. On May 9, 2023, LPA toured the facility with the Licensee and inspected the shared bedroom for R1 and R2. LPA did not observe any illegal substances or drug paraphernalia in R1 and R2’s bedroom. Based on the information obtained there is insufficient evidence to support the allegation.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff, resident and outside source interviews, records reviewed, and LPA observations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated.

The report was discussed, and an exit interview was conducted with Administrator Victoria Legaspi. A copy of this report, Confidential Names list (LIC811), along with Licensee/Appeal Rights (LIC9058 3/22) was provided to Administrator Legaspi at the conclusion of the visit. The signature below confirms the receipt of these documents.

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023

LIC9099 (FAS) - (06/04)

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