374603830-8-24-2022-08-AS-IESA-CHU354-20220831175608

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603830
Report Date: 08/24/2022
Date Signed: 08/24/2022 03:31:03 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
11/18/2020 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20201118143912

FACILITY NAME:	BEST RCF 2		FACILITY NUMBER:	374603830
ADMINISTRATOR:	LAMPKIN, JAZMIN		FACILITY TYPE:	735
ADDRESS:	385 DEEP DELL ROAD		TELEPHONE:	(619) 501-7785
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92114
CAPACITY:	4	CENSUS: 4	DATE:	08/24/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Selena Brown, Administrator		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Lack of supervision resulted in resident sustaining injuries and hospitalization

INVESTIGATION FINDINGS:

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On 08/24/2022, at about 12:00 PM, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced complaint investigation visit to the facility to deliver findings on the above-mentioned allegation. LPA identified himself and was granted entry into the facility by Caregiver, Belkis Ramos. LPA was later joined by and met with Administrator Selena Brown to discuss the purpose of today’s visit.

The Department’s investigation into this complaint consisted of interviews with clients, staff, outside sources and reviews of facility and outside source records. It was alleged lack of supervision resulted in Client 1 sustaining serious injuries and hospitalization.

Client 1 has resided at Best RCF 2 since 08/31/2016 and is diagnosed with Mild Intellectual Disability, Bipolar Effective Disorder, Schizophrenia Disorder and Impulsive Control Disorder. An outside source reported concerns to CCLD of multiple incidents occurring at Best RCF 2 which required calls for service from local law enforcement, specifically PERT (Psychiatric Emergency Response Team). At least, fifteen calls were made from the facility to 911 between 02/20/20 through 11/20/20 mostly related to violent outbursts by Client 1.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

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-20201118143912

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: BEST RCF 2	FACILITY NUMBER: 374603830
	VISIT DATE: 08/24/2022

NARRATIVE

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On 11/05/20 and 11/20/20 Client 1 had violent outbursts leading to police involvement. Client 1 was hospitalized for self-inflicting injury due to the outbursts. Facility staff repeatedly communicated their concerns to Client 1’s medical and mental health providers in order to assist in addressing Client 1’s aggression and self-inflicting injuries to themselves and violence toward others. Staff reported that they attempted to block Client 1 from hurting themselves but denied restraining or causing injury to Client 1. During their interview, Client 1 admitted to having no control over their own violent behavior.

After reviews of clinical documentation, police reports and interviews of staff, clients, outside sources and Client 1 there is insufficient information to support the allegation that lack of supervision resulted in Client 1 sustaining injury and hospitalization.

Based on the evidence obtained during this investigation, the allegation that lack of supervision resulted in a client sustaining injury and hospitalization is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Administrator Brown; a copy of this report and Licensee's Rights (LIC9058) were provided to Administrator Brown.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

LIC9099 (FAS) - (06/04)

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