374603643-3-22-2024-08-AS-SJAB-D3QN3Y-20240326100709

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603643
Report Date: 03/22/2024
Date Signed: 03/22/2024 11:33:14 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
04/25/2023 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20230425104104

FACILITY NAME:	ST. PAUL'S PLAZA		FACILITY NUMBER:	374603643
ADMINISTRATOR:	STRATMAN, KIM		FACILITY TYPE:	740
ADDRESS:	1420 E PALOMAR STREET		TELEPHONE:	(619) 591-0600
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	300	CENSUS: 148	DATE:	03/22/2024
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Maria Sano, Assistant Administrator		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff inappropriately handled a resident in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA)Daniel Pena conducted an unannounced complaint visit to the facility to deliver an investigative finding on the above-mentioned allegation. LPA gained access to the facility, identified himself, and met with Assistant Administrator, Maria Sano to discuss the purpose of the visit.

On 4/25/23, the Department received this complaint alleging staff inappropriately handled a resident in care. The Department’s investigation consisted of LPA observation, interviews with pertinent residents and staff, and review of resident and facility records.

Interviews revealed an incident that took place at the facility on or around April 14, 2023. Resident 1 (R1) was eating lunch in the pub when another resident (R2) came in and sat down at a table near R1. R1 told the server (Staff 1) staff should not feed R2 because R2 did not have their cane. S1 was confused by the remarks and thought maybe it was an inside joke between R1 and R2. S1 approached R2 and

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 08-AS-20230425104104

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: ST. PAUL'S PLAZA	FACILITY NUMBER: 374603643
	VISIT DATE: 03/22/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

asked them if they wanted to place a meal order. R2 said they wanted to order a meal. As S1 went to take R2’s order, R1 became agitated and aggressive towards S1. S1 served R2 their meal and R1 went off on S1 saying, S1 was an idiot. S1 figured R1 was having a bad day and did not take the comments personally or respond either verbally or physically to the behavior.

About 30 minutes later, S1 saw R1 in the restroom. R1 was glaring at S1 and tried to block S1 from leaving the bathroom with their arm. S1 walked around R1 and then reported the incident to a supervisor. R1 told S1, “You’re going to pay for this! I’m going to kill you!”

S1 immediately went to the back of the kitchen to inform the supervisor of the incident. Interview with the supervisor indicated that when the supervisor and S1 walked back to the pub area, R1 had already left and was sitting in the lobby area. The supervisor visually checked R1 and found no evidence of assault or abuse. Interviews with residents provided no corroboration that the alleged incident occurred. R2 stated that residents avoid R1 because R1 is not friendly. R2 said they have never witnessed S1 or any staff act aggressive or abusive towards R1 or any resident.

The Department has investigated the allegation that staff inappropriately handled a resident in care. Based on interviews with residents and staff, there is insufficient evidence to corroborate the allegation. The preponderance of evidence standard was not met. The complaint allegation is unsubstantiated.

An exit interview was conducted with Ms. Sano, and a copy of this report along with the Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2