374603818-8-29-2023-08-AS-DPOL-CW3SNM-20230927140148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603818
Report Date: 08/29/2023
Date Signed: 08/29/2023 01:33:12 PM

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
07/03/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20230703135458

FACILITY NAME:	EUBANK CASTLE		FACILITY NUMBER:	374603818
ADMINISTRATOR:	ANETA STANEK DE LA		FACILITY TYPE:	735
ADDRESS:	1528 SANGAMON AVENUE		TELEPHONE:	(619) 825-6473
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	6	CENSUS: 5	DATE:	08/29/2023
		UNANNOUNCED	TIME BEGAN:	12:59 PM
MET WITH:	Monica McDade, Program Manager		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not treat client with respect
Facility did not arrange transportation services for client

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close a complaint investigation regarding the above-mentioned allegations. LPA identified herself and met with Monica McDade, Program Manager, to discuss the purpose of the visit and elements of the complaint.

It was alleged that staff did not treat client with respect. Interviews with clients revealed that the staff are friendly and treat them with respect. Interviews revealed there were a few staff that worked there that would do some stuff that they shouldnt but they are no longer working at the facility. Interviews revealed those staff were terminated. Interviews with staff revealed they talk and treat the clients with respect and dignity.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

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-20230703135458

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: EUBANK CASTLE	FACILITY NUMBER: 374603818
	VISIT DATE: 08/29/2023

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

It was alleged that the facility did not arrange transportation services for client. Interviews revealed that when the clients need to go somewhere that the staff usually take them. If they don't it would have to be a very interesting reason on why the staff wouldn't. For instance if a staff calls out at the last minute or if there is a doctor appointment for a client and a different client asks to go to 711 prior to them taking them to the appointment. The staff would still take them but it would be delayed until after the appointment. Interviews with clients revealed that no staff denied or refused them a ride. The day of the incident the client called 911 and was taken by ambulance to Grossmont Hospital. According to interviews when their treatment was finished, they tried to call the director to request a ride back to the facility. Interviews revealed the client was blocked by the director from the client playing on their phone earlier and interviews revealed the client knew they were blocked. Interviews revealed the client knows the facility number and called that number to request a ride home. The hospital sent the client home by Uber and the facility staff usually pick them or use a medical transport based on the safety need.

Allegations of staff did not treat client with respect and facility did not arrange transportation services for client are unsubstantiated. An exit interview was conducted with Monica Mc Dade, Program Administrator. A copy of this report and Licensee Appeal

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2