374603778-8-21-2024-08-AS-JLOT-D8N2PD-20240830173408

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603778
Report Date: 08/21/2024
Date Signed: 08/21/2024 11:32:32 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
07/09/2024 and conducted by Evaluator Ryan Fulton

COMPLAINT CONTROL NUMBER: 08-AS-20240709103241

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:	78	CENSUS: 68	DATE:	08/21/2024
		UNANNOUNCED	TIME BEGAN:	10:42 AM
MET WITH:	Resident Services Director Nae Brownell		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff left resident in a soiled diaper for a prolonged period of time.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ryan Fulton conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegation. LPA introduced himself and disclosed the purpose of the visit to Resident Services Director Nae Brownell.

On 07/09/24, it was alleged that staff left resident in a soiled diaper for a prolonged period of time. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff and residents, and a records review. Staff interviews revealed that the facility was changing residents promptly. Staff said they check resident rooms every two hours for incontinence care issues. Staff members advised that while some residents need more attention with incontinence care, they believe all residents receive the appropriate amount of care. Staff interview revealed that incontinence products were located in a locked storage room that is accessible to staff. Resident Interviews did not corroborate the allegation; residents informed that the facility kept them clean and changed them regularly, and they are not being left in soiled diapers for a prolonged period.
(Continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) -76-2311
LICENSING EVALUATOR NAME: Ryan Fulton	TELEPHONE: 619-629-8938
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024

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-20240709103241

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: HERITAGE HILLS	FACILITY NUMBER: 374603778
	VISIT DATE: 08/21/2024

NARRATIVE

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Residents interviewed did not expressed concern regarding incontinence care being not satisfactory. A review of facility records revealed invoices for incontinence care products were regularly purchased for the facility residents. The invoice consisted of small, medium, large, and extra-large adult briefs, wipes, and gloves. Records also indicated that the facility staff did in-service training for incontinence care, which included how to properly change residents with incontinence care and care for incontinence needs in older adults. LPA observations revealed a sufficient amount of incontinence products in the backstock area. LPA also observed that the facility was not malodorous of urine or feces. Outside sources revealed that residents are well taken care of, and they had no issues with incontinence care for their client.

This agency has investigated the complaint alleging staff left resident in a soiled diaper for a prolonged period of time. The department has found that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation occurred, therefore the above allegation is found to be UNSUBSTANTIADED. An exit interview was conducted, and report was reviewed with the licensee/facility representative.

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) -76-2311
LICENSING EVALUATOR NAME: Ryan Fulton	TELEPHONE: 619-629-8938
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024

LIC9099 (FAS) - (06/04)

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