374603587-8-31-2022-08-AS-DPOL-CHTTPZ-20220831145510

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603587
Report Date: 08/31/2022
Date Signed: 08/31/2022 02:30:20 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
07/30/2021 and conducted by Evaluator Liliana Silveira

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20210730130020

FACILITY NAME:	CHANCELLOR HOME		FACILITY NUMBER:	374603587
ADMINISTRATOR:	MARSHA WEBB		FACILITY TYPE:	735
ADDRESS:	13904 CHANCELLOR WAY		TELEPHONE:	(858) 842-4534
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	4	CENSUS: 4	DATE:	08/31/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Assistant Manager D'anna Nunez		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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- Staff used client credit card without permission.
- Staff did not protect client from another client.
- Staff did not treat clients with dignity.
- Facility did not serve food in quantity.
- Facility did not ensure client got three meals a day.
- Staff left cigarette butts in backyard.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira met with Assistant Manager D'anna Nunez and shared the findings.

The Department’s investigation consisted of interviews, observations, and records review. On 07/30/2021, it was alleged that staff used Client #1’s (C1) credit card without permission. Interviews with staff and outside sources, as well as a records review demonstrated that all recent purchases made had been approved by C1 and documented.

It was also alleged that the facility did not serve food in quantity and facility did not ensure client got three meals a day. Interviews with outside sources revealed that there were inconsistent statements made and a lack of credibility regarding the allegation that clients are not receiving three meals per day. ( Page 2 continued on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

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-20210730130020

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: CHANCELLOR HOME	FACILITY NUMBER: 374603587
	VISIT DATE: 08/31/2022

NARRATIVE

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(CONTINUED) A tour of the kitchen on 08/05/2021 revealed that both non-perishable and perishable food items were available in good quantity. Licensee demonstrated a monthly food menu, which was created in collaboration with clients and included the FDA recommended food groups. A client corroborated that they participate in creating the menu and expressed satisfaction with the three meals and snacks offered daily.

It was also alleged that staff did not treat clients with dignity and that staff did not protect client from another client. A tour of the facility revealed that clients were in good health and the facility was clean and in good repair. Interviews with outside sources revealed that the facility is in good standing and no complaints has been made during this time regarding care or personal rights. Interviews with outside sources also revealed that there were inconsistent statements and a lack of credibility regarding these allegations.

A tour of the facility, including the bedrooms, the kitchen and the backyard, revealed that the facility was clean and in good repair. No cigarette butts were observed outside on the facility grounds. Observations and interviews with staff revealed that some staff did smoke during breaks, but the cigarette butts were inserted in a container with water which was disposed of on a daily basis.

Due to lack of corroborating evidence, the findings regarding the above allegations were established to be unsubstantiated. This finding means although the allegations may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

LPA Silveira conducted an exit interview with D'anna Nunez. At the time of the exit interview D'anna was provided with a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) and signature on this report acknowledges receipt of the rights.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC9099 (FAS) - (06/04)

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