<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603004
Report Date: 09/26/2023
Date Signed: 09/26/2023 11:26:29 AM

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
07/12/2023 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20230712084931
FACILITY NAME:SUBLIME LIVINGFACILITY NUMBER:
374603004
ADMINISTRATOR:LUIS DE LA ROSAFACILITY TYPE:
735
ADDRESS:1210 SANGAMON AVETELEPHONE:
(619) 303-8426
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 6DATE:
09/26/2023
UNANNOUNCEDTIME BEGAN:
11:02 AM
MET WITH:Monica McDade, Program AdministratorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not treat resident(s) with dignity.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close a complaint investigation regarding the above-mentioned allegation. LPA identified herself and met with Monica McDade, Program Manager, to discuss the purpose of the visit and elements of the complaint.

It was alleged that staff did not treat resident(s) with dignity. Interviews with clients revealed that the staff are friendly and treat them with respect. Interviews revealed that there are some clients that staff have to talk louder too and talk with a firm voice due to their cognitve ability. Interviews revealed that Client 1 (C1) gets fixated on different items and when they do they have to be louder than usual because they will not listen nor respond. Interviews with staff revealed they talk and treat the clients with respect and dignity.

The allegation of staff did not treat resident(s) with dignity is unsubstantiated. An exit interview was conducted with Monica Mcdade, Program Administrator. A copy of this report and Licensee Appeal rights (LIC 9058 03/22) were provided at the end of the visit.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023
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 1