374603510-2-14-2024-08-AS-SJAB-D2U2TY-20240226164129

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603510
Report Date: 02/14/2024
Date Signed: 02/14/2024 09:11:44 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
01/04/2024 and conducted by Evaluator Alyssa Ramirez

COMPLAINT CONTROL NUMBER: 08-AS-20240104083419

FACILITY NAME:	AQUINO'S QUALITY HOMECARE NO. 2		FACILITY NUMBER:	374603510
ADMINISTRATOR:	BERNARDO AQUINO		FACILITY TYPE:	735
ADDRESS:	1839 ITHACA STREET		TELEPHONE:	(619) 272-4223
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	6	CENSUS: 5	DATE:	02/14/2024
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	House Manager Emma Manal		TIME COMPLETED:	09:20 AM

ALLEGATION(S):

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Staff violating client's personal rights
Facility is not providing client's with necessary supplies
Lack of Supervision resulting in client on client physical altercations
Staff did not ensure that client attends medical appointments
Staff stores other client's belongings in client's room, not allowing client privacy

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 House Manager Emma Manalo and 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, interviews with facility staff, clients and outside agency.
It was reported to CCL that staff violated client’s personal rights, facility is not providing clients with necessary supplies, lack of supervision resulting in client on client physical altercations, staff did not ensure that client attends medical appointments and staff store client’s belongings in another client’s room, not allowing client privacy.

[Continued on LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

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-20240104083419

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: AQUINO'S QUALITY HOMECARE NO. 2	FACILITY NUMBER: 374603510
	VISIT DATE: 02/14/2024

NARRATIVE

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[Continued from LIC 9099]

Regarding allegation, “staff violated client’s personal rights”, it was alleged that facility staff make disrespectful comments towards clients. Staff interviews revealed that no one has witnessed any facility staff yelling or being disrespectful towards clients. Client interviews reported no concerns for staff. Interview with outside source (OA) did not avail any concerns for staff.

Regarding allegation, “facility is not providing client’s with necessary supplies”, it was alleged that facility was not providing supplies such as sharps containers. LPA observed sharp container in the facility. Interview’s with clients revealed that clients had necessary supplies. Interviews with staff revealed that when a client is in need of something, the facility provides it. Interview with outside source (OA) revealed no concerns for the facility.

Regarding allegation, “lack of supervision resulting in client on client physical altercations”, it was alleged that there was a physical altercation between two clients in their bedroom. Interview’s with facility staff revealed that there was an argument that occurred between two clients who roomed together. Staff all reported that they did not witness incident due to the clients bedroom door being shut. Client’s had conflicting statements on the incident. According to clients, outside source and facility staff, clients who were involved in the incident are no longer roommates and issue has been resolved. Interviews did not avail any concern for lack of supervision.

Regarding allegation, “Staff did not ensure that client attends medical appointments”, It was alleged that a client missed an appointment. Interviews with clients revealed that the licensee or facility staff transport client’s to medical appointments and have no concerns for missed appointments. Interviews with facility staff corroborated statements made by clients. Interview with outside source did not reveal concern for facility not meeting clients medical needs.

[Continued on LIC 9099-C]

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20240104083419

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: AQUINO'S QUALITY HOMECARE NO. 2	FACILITY NUMBER: 374603510
	VISIT DATE: 02/14/2024

NARRATIVE

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[Continued from LIC 9099-C]

Regarding allegation, “Staff store other client’s belongings in client’s room, not allowing client privacy”, it was alleged that clients had other clients belongings in their room. Interviews with clients revealed that everyone only has their own belongings in their rooms and no other client’s belongings. Interviews with staff revealed that no client’s belongings were being stored in another client’s room.

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 House Manager Emma Manalo. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to House Manager Emma Manalo whose signature below verifies receipt of these rights

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2024

LIC9099 (FAS) - (06/04)

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