374602984-7-17-2023-08-AS-LTEZ-CU9URV-20230731154923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602984
Report Date: 07/17/2023
Date Signed: 07/17/2023 03:36:01 PM

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
06/22/2023 and conducted by Evaluator Nacole Patterson

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20230622150010

FACILITY NAME:	HOME OF GUIDING HANDS-CALDERA		FACILITY NUMBER:	374602984
ADMINISTRATOR:	RENE DOEHRER		FACILITY TYPE:	735
ADDRESS:	9915 VIA RITA		TELEPHONE:	(619) 596-2067
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY:	4	CENSUS: 4	DATE:	07/17/2023
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Rene Doehrer, Administrator		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Neglect/Lack of supervision resulted in resident injury

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Rene Doehrer, Administrator.

On 6/22/23 it was alleged that neglect/lack of supervision resulted in a resident's injury due to an unexplained bruise seen on a resident's shoulder. The Department’s investigation consisted of two unannounced facility visits, review of facility and outside source records, interviews with facility staff and residents, outside source interviews, and LPA direct observations. Staff interviews did not corroborate the allegation. All staff interviewed provided consistent information regarding the resident in question's mannerisms, behaviors, incidents, and engagement with other people. Staff stated that the resident gets along with everyone and there are no concerns regarding any type of intentional physical harm toward them by a staff member or other resident.

(Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2023

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-20230622150010

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: HOME OF GUIDING HANDS-CALDERA	FACILITY NUMBER: 374602984
	VISIT DATE: 07/17/2023

NARRATIVE

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(Continued from LIC9099)

Staff interviews revealed that the resident in question bruises easily and is consistently reminded to be careful when they are walking due to regularly walking into objects. 3 out of 4 residents were non-verbal and unable to be interviewed. The resident who was able to communicate verbally provided information that residents regularly bump into a narrow location of the hallway. Resident interview did not reveal any concerns regarding physical abuse, neglect, or lack of supervision for any resident.

Outside source interviews revealed no concerns regarding lack of supervision, neglect or physical abuse by facility staff. The resident in question has no history of unexplained injuries with their day program, primary care physician, or any other regulatory agency connected to the facility.

During an unannounced facility visit LPA directly observed a resident's shoulder make contact with a corner at a narrow turn in a hallway while they were looking down and walking quickly. LPA also observed two residents nearly make contact with each other due to being in close proximity but unaware of the potential danger. Multiple times during the visit LPA observed staff as they reminded residents to be careful of various objects and each other.

No records reviewed showed indication of physical abuse, neglect, or pattern of lack of supervision by the facility that could have led to the resident in question's injury. Records review revealed that the resident in question takes a number of medications that cause them to bruise easily.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Rene Doehrer, Administrator, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2023

LIC9099 (FAS) - (06/04)

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