374603761-12-16-2021-08-AS-IESA-CC42TJ-20220228164048

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603761
Report Date: 12/16/2021
Date Signed: 12/16/2021 12:32:29 PM

Substantiated

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
12/06/2021 and conducted by Evaluator Dawn Segura

COMPLAINT CONTROL NUMBER: 08-AS-20211206101520

FACILITY NAME:	P & P HOMES INC		FACILITY NUMBER:	374603761
ADMINISTRATOR:	ORDINANZA, PAULO C		FACILITY TYPE:	740
ADDRESS:	146 WEDGEWOOD DRIVE		TELEPHONE:	(619) 292-3640
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92114
CAPACITY:	6	CENSUS: 5	DATE:	12/16/2021
		UNANNOUNCED	TIME BEGAN:	10:14 AM
MET WITH:	Paola Ordinanza, Administrator		TIME COMPLETED:	11:08 AM

ALLEGATION(S):

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Unlawful eviction.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to conduct an investigation into the above listed complaint allegation. LPA was granted entry into the facility by Editha Cuizon, Staff. The administrator, Paolo Ordinanza, arrived a short time later, to whom LPA disclosed the reason for the visit.

Community Care Licensing (CCL) has investigated the above listed allegation. The investigation consisted of a tour of the facility, review of records, and interviews of facility staff and outside sources.

It was alleged that Resident 1 (R1) [Administrator was provided an LIC 811 Confidential Names List that identifies the resident] was sent to the emergency room of a local hospital after being placed on a Welfare and Institution Code 5150 psychiatric hold (5150). After being medically and psychiatrically assessed and cleared for discharge, hospital staff contacted the facility’s administrator to inform that R1 was cleared for

Substantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021

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-20211206101520

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: P & P HOMES INC	FACILITY NUMBER: 374603761
	VISIT DATE: 12/16/2021

NARRATIVE

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discharge. The administrator refused to accept R1 back into the facility, indicating that R1 was too hard to manage and too loud for the other residents. After back and forth exchanges between hospital staff and facility staff, R1 was admitted into the hospital because of the administrator’s and staff's refusal to accept the resident back into the home.

During the course of the investigation, interviews and records reviewed revealed that on December 3, 2021, around midday, R1 was transported to the hospital on a 5150 following a behavioral outburst. Approximately six hours later, the facility’s administrator was called and notified that R1 had been cleared by medical and psychiatric staff to return to the facility. The administrator expressed that he would not accept R1 back into the facility at that time. The administrator was called by hospital personnel again around 8:55 PM and 9:25 PM, advising that R1 was ready to be discharged and transportation had been arranged to return R1 to the home. The administrator notified the hospital that he'd found another hospital to assess the resident and possibly admit R1; however, there was no confirmation that the psychiatric hospital would accept or provide a bed for the resident. At approximately 10:00 PM, the administrator received a call from hospital staff, again informing that R1 was cleared and ready to return to the facility. Due to the administrator’s continued refusal to accept R1 back into the home, the doctor decided to admit the resident into the hospital because there was no safe place for R1 to go at that time. On December 6, 2021, 3 days after being notified that the resident was cleared and ready for discharge from the hospital, after consultation with LPA and staff of San Diego Regional Center, Administrator agreed to accept R1 back into the home.

Based on the lack of issuance of a formal, written eviction notice and the administrator’s refusal, for 3 days, to accept R1 into the home, after being repeatedly notified that the resident was cleared and ready to be discharged to the home, the allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegation is valid. Deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and noted on the attached LIC 9099-D.

An exit interview was conducted with Paulo Ordinanza, Administrator. Following the visit, the administrator will be provided a copy of this report and Licensee Appeal Rights, via electronic mail. An electronic receipt of confirmation was requested to be sent to LPA upon receipt of the documents.

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20211206101520

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: P & P HOMES INC	FACILITY NUMBER: 374603761
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/16/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/17/2021 Section Cited CCR 87224(a)	1 2 3 4 5 6 7	Eviction Procedures. The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph (5). This requirement was not met as evidenced by:	1 2 3 4 5 6 7	R1 was accepted back into the facility on 12/6/2021. Deficiency is cleared.
	8 9 10 11 12 13 14	Based on interviews and record review, the licensee did not provide R1 with a written 30-day eviction notice prior to leaving R1 at the hospital for 3 days following discharge. This posed a potential personal rights violation to 1 of 5 residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Rebecca Hedgecock
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021

LIC9099 (FAS) - (06/04)

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