374603431-8-28-2024-08-AS-SJAB-D8KUWX-20240828155728

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603431
Report Date: 08/19/2024
Date Signed: 08/28/2024 10:40:07 AM

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
03/05/2024 and conducted by Evaluator Alyssa Ramirez

COMPLAINT CONTROL NUMBER: 08-AS-20240305121348

FACILITY NAME:	ACTIVCARE AT ROLLING HILLS RANCH		FACILITY NUMBER:	374603431
ADMINISTRATOR:	BONGHABIH N. SHEY		FACILITY TYPE:	740
ADDRESS:	850 DUNCAN RANCH ROAD		TELEPHONE:	(619) 482-8000
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91914
CAPACITY:	60	CENSUS: 44	DATE:	08/19/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Executive Director Bonghabih Smith		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff are forcing residents to wake from sleeping
Staff are forcing residents to get out of bed
Staff are forcing residents to leave their rooms

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Bonghabih Smithand discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, LPA observations, interviews with facility staff, clients and outside agency.

It was reported to CCL that facility staff are forcing residents to wake from sleeping, staff are forcing residents to get out of bed and staff are forcing residents to leave their rooms.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alyssa Ramirez	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024

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-20240305121348

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: ACTIVCARE AT ROLLING HILLS RANCH	FACILITY NUMBER: 374603431
	VISIT DATE: 08/19/2024

NARRATIVE

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Regarding the allegations, it was alleged that facility staff were instructed to wake up residents out of their sleep at 4:30am, groom the residents and force residents out of their rooms and into the dining room, in order to assist the next shift. It was reported that residents do not want to wake up that early and that residents are forced to sit in the dining room without anything to do but sit quietly. LPA observations revealed that LPA observed the “gray room” at 6am where residents gather in the morning. LPA observed music to be playing, staff interacting with residents by talking to them and offering them coffee and food such as oatmeal, boiled eggs and cereal. Residents appeared to be clean and fully dressed. No one appeared to be upset or disgruntled. Interviews with facility staff revealed that staff denied any residents being forced to be woken up and get out of bed. Staff denied being instructed to wake residents up at 4:30am and reported that the earliest residents start getting assisted with grooming is 5am. Staff reported that there are some residents who are early risers and they are assisted with grooming after 5am if they are awake and reported that no one is forced to be an early riser. Interviews with residents did not avail any concern surrounding being woken up too early or being forced out of bed/room. Interviews with outside sources did not reveal any concerns for allegations being investigated.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today.

An exit interview was conducted with Smith. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Smith whose signature below verifies receipt of these rights.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Alyssa Ramirez	TELEPHONE: 619-767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024

LIC9099 (FAS) - (06/04)

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