374603669-1-5-2024-08-AS-IESA-D228UF-20240131214929

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603669
Report Date: 01/05/2024
Date Signed: 01/05/2024 05:15:13 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
06/28/2022 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20220628155902

FACILITY NAME:	HABILITATIVE HOMES RESIDENTIAL CARE FACILITY		FACILITY NUMBER:	374603669
ADMINISTRATOR:	DAVID LARSON		FACILITY TYPE:	735
ADDRESS:	11775 WALNUT ROAD		TELEPHONE:	(619) 270-4484
CITY:	LAKESIDE	STATE: CA	ZIP CODE:	92040
CAPACITY:	6	CENSUS: 6	DATE:	01/05/2024
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Licensee David Larson		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are not treating clients with dignity.
Staff engage in verbal altercations in the presence of residents.
Resident's hygiene needs are not being met.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegations. LPA Correia met with Licensee David Larson to whom was explained the purpose for the visit.

The Department’s investigation consisted of staff, client, and outside source interviews, a review of client records, and facility tour.

It was alleged that staff were not treating clients with dignity. Interviews conducted with clients in care revealed they felt the staff treated them well and they had never felt staff were disrespectful. All interviews conducted with clients revealed they enjoyed living at the facility and had no concerns or questions about the staff to discuss.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024

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-20220628155902

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: HABILITATIVE HOMES RESIDENTIAL CARE FACILITY	FACILITY NUMBER: 374603669
	VISIT DATE: 01/05/2024

NARRATIVE

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It was also alleged staff engaged in verbal altercations in the presence of the clients, infringing on their personal rights. An interview conducted with the Licensee revealed at times the family would have quarrels over normal life issues however there was never yelling or any violence. The interview also revealed the staff were aware of their surroundings and would retreat to a private room or area if clients were present. Interviews conducted with all, but one (1) client corroborated that staff kept their personal issues private and had not observed staff arguments. The interview with the (1) one client who had overheard staff argue revealed the arguments were minimal and never bothered them.

Lastly, it was alleged the client's hygiene needs were not being met. Interviews conducted with clients and client records reviews revealed clients were mostly independent and able to bathe themselves. Interviews with the clients that required assistance revealed no issues being assisted by staff, nor any issues with a lack of hygiene supplies. A facility tour also revealed clients had an adequate amount of hygiene supplies.

Based on the investigation there was not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Licensee Larson, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 01/16) will be provide and signature below confirms receipt of the reports.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024

LIC9099 (FAS) - (06/04)

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