374603586-11-8-2023-08-AS-LTEZ-CXTTL7-20231122134904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603586
Report Date: 11/08/2023
Date Signed: 11/08/2023 08:06:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/16/2023 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20231016155540

FACILITY NAME:	BLAKEYS PLACE, ARF		FACILITY NUMBER:	374603586
ADMINISTRATOR:	BLAKEY, LEROY		FACILITY TYPE:	735
ADDRESS:	1420 PEERLESS DRIVE		TELEPHONE:	(619) 246-1171
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92021
CAPACITY:	6	CENSUS: 4	DATE:	11/08/2023
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Licensee, Leroy Blakey		TIME COMPLETED:	11:25 AM

ALLEGATION(S):

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-Staff neglect resulted in client not receiving care for medical condition
-Facility did not provide healthful living conditions for clients
-Facility staff emotionally abused client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced visit to conclude the complaint investigation regarding the above mentioned allegations. LPA met with Licensee, Leroy Blakey..

During the investigation, the facility was toured, records reviewed, and interviews conducted with staff, clients, and outside sources. It was alleged staff neglect resulted in Client #1 (C1) not receiving care for medical condition. C1’s Physician Report dated 06/07/22 indicated C1 was able to care for all their personal needs, ambulate without assistance, and leave the facility unassisted. C1’s Individual Program Plan dated 01/25/18 indicated C1 can attention seek by fabricating stories. A review of C1’s medical records revealed C1 received medical care from various medical groups from 05/13/19 through 09/06/23. Outside source interviews confirmed C1 was receiving regular medical care from C1’s primary care provider as well as other medical institutions. C1’s interview confirmed receiving medical care when needed. Additional client interviews confirmed receiving medical care. The licensee’s interview confirmed C1 and other clients receive medical care when needed. Continued on LIC 9099.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023

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-20231016155540

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: BLAKEYS PLACE, ARF	FACILITY NUMBER: 374603586
	VISIT DATE: 11/08/2023

NARRATIVE

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It was also alleged that the facility did not provide healthful living conditions for clients due to urine on the carpet, mold on the walls, and clutter obstructing walkways. On 10/24/23, LPA toured the facility and did not observe urine on the carpet, mold on the walls or clutter obstructing walkways. Client interviews confirmed the facility is kept clean by staff. The licensee and staff interviews revealed they clean the facility regularly and ensure the walkways are not obstructed.

Lastly it was alleged that the facility staff emotionally abused C1. It was reported when C1 does something wrong the licensee corrects C1. Also, gunshots were heard at night coming from the facility. Licensee’s interview revealed he does not own a fake or real firearm. Staff’s interview also confirmed there are no firearms on the premises. C1’s interview revealed never witnessing licensee/staff possess a firearm or being threatened by the licensee.

During the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee, Leroy Blakey whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Client #1]

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023

LIC9099 (FAS) - (06/04)

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