374603182-5-8-2024-08-AS-LTEZ-D8MRU6-20240830131925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603182
Report Date: 05/08/2024
Date Signed: 05/08/2024 12:47:21 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
03/01/2024 and conducted by Evaluator Juliana Barfield

COMPLAINT CONTROL NUMBER: 08-AS-20240301115200

FACILITY NAME:	RAMONA SENIOR MANOR		FACILITY NUMBER:	374603182
ADMINISTRATOR:	GALANG, MARJORIE C.		FACILITY TYPE:	740
ADDRESS:	1236 D STREET		TELEPHONE:	(760) 440-9844
CITY:	RAMONA	STATE: CA	ZIP CODE:	92065
CAPACITY:	28	CENSUS: 22	DATE:	05/08/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator Isela Vega		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff do not respond to residents' calls for assistance timely
Staff handled resident roughly

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Juliana Barfield and Sabel Martinez conducted an unannounced visit to conduct interviews and deliver investigative findings. LPAs introduced themselves, were granted entry into the facility, and met with Isela Vega, to whom they disclosed the reason for the visit.

Community Care Licensing (CCL) has investigated the complaint allegation. The investigation consisted of a tour of the facility, review of facility records, and interviews of residents and staff and outside sources.

It was reported to CCL that staff do not respond to resident calls for assistance timely. It was also reported that staff handled a resident roughly. Interviews with residents reported that there was no untimely assistance by staff. All residents interviewed including resident (R1) said that staff respond within a few minutes when they press their call pendants that they wear around their necks at all times.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Juliana Barfield	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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-20240301115200

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: RAMONA SENIOR MANOR	FACILITY NUMBER: 374603182
	VISIT DATE: 05/08/2024

NARRATIVE

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It was reported in staff interviews that there are two centralized call monitors on the first floor in the common area. All pendant activations are heard by staff in the common area and one staff member is dispatched within minutes of the alarm. There is always one staff member in the area that can hear the alarm.

It was also alleged that staff handled resident roughly. Interviews with residents did not conclude any rough handling by staff. Staff also reported no mishandling of residents. Outside source interviews revealed that abuse has not been observed and there are no concerns for abuse.

Based on interviews and record reviews there is insufficient evidence to support that the alleged violations occurred. Therefore the complaint is unsubstantiated.

An exit interview was conducted and report was given to Isela Vega and appeal rights (LIC 9058) were provided.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Juliana Barfield	TELEPHONE: (619) 994-7269
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC9099 (FAS) - (06/04)

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