374602961-5-20-2024-08-AS-IESA-D8S3VH-20240903183506

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602961
Report Date: 05/20/2024
Date Signed: 05/20/2024 03:04:09 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
04/13/2021 and conducted by Evaluator Becky Kennedy

COMPLAINT CONTROL NUMBER: 08-AS-20210413142819

FACILITY NAME:	BEARING LANE HOME CARE		FACILITY NUMBER:	374602961
ADMINISTRATOR:	JENKINS, VALERIE		FACILITY TYPE:	735
ADDRESS:	190 BEARING LANE		TELEPHONE:	(619) 749-4629
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	4	CENSUS: 3	DATE:	05/20/2024
		UNANNOUNCED	TIME BEGAN:	02:19 PM
MET WITH:	Suzanne Evans		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff member hit resident with an object.
Staff member made inappropriate comments to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst Becky Kennedy concluded the investigation which began on 4/22/21. LPA Kennedy made an unannounced visit to the above facility today and met with Suzanne Evans, House Manager. LPA advised them of the reason for today's visit and delivered the investigation findings on the above allegations.

The investigation consisted of interviews with internal sources, and a tour of the facility.

It was alleged that Client 1 (C1) was hit with an object by a staff member and that staff members made inappropriate comments to the C1.

The investigation determined that C1 resided at the facility for a period of four years. The above allegations were brought to the agency’s attention three and a half years after C1 left this facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

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-20210413142819

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: BEARING LANE HOME CARE	FACILITY NUMBER: 374602961
	VISIT DATE: 05/20/2024

NARRATIVE

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C1 reported mistreatment to multiple individuals and on multiple occasions, however the reports are not consistent between reports. The type of mistreatment changed from telling to telling over a span of at the investigation. Several different staff members, all male, were mentioned as perpetrating the maltreatment although there were no consistent threads. However, C1 did consistently claim they was maltreated while residing in the facility.

Interviews with internal sources did not reveal any concerns about staff members regarding treatment of clients.

Although C1 may have experienced some mistreatment while residing in this facility, it could not be concluded that the above allegations did occur, due to the three and a half year laps prior to reporting, and inconsistent accounts. Therefore, the preponderance of evidence standard has not been met and these allegations are un-substantiated.

An exit interview was conducted with Suzanne Evans, House Manager. A copy of this report along with Licensee Rights (LIC9058 01/2016) was left at the facility.

SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Becky Kennedy
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

LIC9099 (FAS) - (06/04)

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