374603778-11-6-2023-08-AS-LTEZ-CXYTNG-20231127135244

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 11/06/2023
Date Signed: 11/06/2023 04:21:19 PM

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
06/06/2023 and conducted by Evaluator Nacole Patterson

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20230606163351

FACILITY NAME:	HERITAGE HILLS		FACILITY NUMBER:	374603778
ADMINISTRATOR:	STEFANIE ANCHETA		FACILITY TYPE:	740
ADDRESS:	2108 EL CAMINO REAL		TELEPHONE:	(760) 206-7930
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92054
CAPACITY:	74	CENSUS: 70	DATE:	11/06/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Stefanie Ancheta, Executive Director		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee did not address Scabies outbreak.
Licensee did not assist resident(s) with showering.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Stefanie Ancheta.

On 6/6/23 it was alleged that Licensee did not address Scabies outbreak, and Licensee did not assist resident(s) with showers. The Department’s investigation consisted of unannounced facility visits, review of facility records, interviews with facility staff, residents, outside sources, and LPA direct observations.
Regarding the allegation, "Licensee did not address Scabies outbreak", it was alleged that Licensee did not take measures to prevent Scabies from spreading at the facility. Staff interview revealed that staff identified the first cases, elevated the issue, and management trained/implemented the infection control protocol the same day of the first confirmed case. All staff interviewed consistently recited the infection control protocols for Scabies and stated they felt comfortable with the steps taken to protect residents and staff. Records review revealed that management contacted the CDC, CCLD, Responsible Parties, and the doctors for affected residents. (Continued on LIC9099-C)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

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-20230606163351

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: HERITAGE HILLS	FACILITY NUMBER: 374603778
	VISIT DATE: 11/06/2023

NARRATIVE

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(Continued from LIC9099)

Records review corroborated that an in-service training was conducted for staff regarding Scabies infection control and contact precautions. During an unannounced facility visit LPA directly observed evidence of the infection protocols in place such as PPE carts outside of resident rooms, increased cleaning of common surfaces by housekeeping staff, and quarantine signs on resident doors.

Regarding the allegation, "Licensee did not assist resident(s) with showering", it was alleged that residents were not being showered according to their care plans. Staff interview responses were varied and inconsistent, some staff stating that showers were offered multiple times but refused by residents, other staff informing that showers were being given consistently, and additional staff informing that certain shifts were not consistently showering residents. Residents interviewed stated that showers were being provided consistently and on time. Records review showed that staff were not consistently completing the shower and body check logs during the timeframe of complaint, resulting in the absence of recorded proof if showers were being provided. Outside sources interviewed could not speak to consistency of showers.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Executive Director Stefanie Ancheta, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Nacole Patterson	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2023

LIC9099 (FAS) - (06/04)

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