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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603884
Report Date: 01/23/2021
Date Signed: 01/25/2021 10:16:18 AM



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
06/22/2020 and conducted by Evaluator Evangelica Torres
COMPLAINT CONTROL NUMBER: 08-AS-20200622092203
FACILITY NAME:RIGHT CHOICE SENIOR LIVING CLAIREMONTFACILITY NUMBER:
374603884
ADMINISTRATOR:TODD BROOKSFACILITY TYPE:
740
ADDRESS:4929 MOUNT LONGSTELEPHONE:
(619) 246-2003
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:6CENSUS: 6DATE:
01/23/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator, Todd BrooksTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful Eviction
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Eva Torres conducted a virtual visit via Zoom to deliver findings on the above allegation due to COVID-19. LPA identified herself, spoke with Administrator, Todd Brooks, and disclosed the purpose of the phone call. The investigation included interviews and a review of records.
It was alleged that the facility issued an unlawful eviction to Resident’s #1 (R1) (See LIC 811- Confidential Names List for R1). The 30-day notice of termination dated 06/19/20 was reviewed and it met Title 22 Regulation. A review of R1’s records also confirmed a change in condition, which reflected that R1 required higher-level care due to safety reasons and a decline in their mental state. Moreover, an interview with the administrator and an outside agency confirmed that they were working together to obtained approval for additional services, so that R1 may remain at the facility. On 06/26/20, R1 was approved for additional support in supervision. As a result, the eviction was rescinded. Based on the evidence, the Department found the complaint to be unfounded, meaning that the allegation is without a reasonable basis. We have therefore dismissed the complaint. A virtual exit interview was conducted with Administrator, Brooks and the Licensee’s Rights (LIC9058 01/16) along with a copy of this report was provided to the administrator via email. A reply email or return receipt from the administrator will confirm receipt of documents.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Evangelica TorresTELEPHONE: (619) 900-1407
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2021
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
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
06/22/2020 and conducted by Evaluator Evangelica Torres
COMPLAINT CONTROL NUMBER: 08-AS-20200622092203

FACILITY NAME:RIGHT CHOICE SENIOR LIVING CLAIREMONTFACILITY NUMBER:
374603884
ADMINISTRATOR:TODD BROOKSFACILITY TYPE:
740
ADDRESS:4929 MOUNT LONGSTELEPHONE:
(619) 246-2003
CITY:SAN DIEGOSTATE: CAZIP CODE:
92117
CAPACITY:6CENSUS: 6DATE:
01/23/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Administrator, Todd BrooksTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee violated the Resident#1's (R1) Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Eva Torres conducted a virtual visit via Zoom to deliver findings on the above allegation due to COVID-19. LPA identified herself, spoke with Administrator, Todd Brooks, and disclosed the purpose of the phone call. The investigation included interviews and a review of records. It was alleged that Resident’s #1 (R1) (See LIC 811- Confidential Names List for R1) personal rights were violated by preventing R1 right to leave the facility, in addition to making harassing false statements of R1. Interviews conducted with an outside source, responsible parties, and residents, including R1’s interview revealed inconsistencies in their statements, as some denied the allegations while others had no knowledge of the alleged occurrences. Also, a review of R1’s records revealed that R1 had been undergoing a change in their condition that required additional support in supervision, in which the administrator and the outside agency worked together to obtain the approval on 06/26/20. Based on conducted interviews and a review of records, there is insufficient evidence to prove or disprove that the allegation occurred; therefore, the complaint investigation findings is found to be unsubstantiated. An exit interview was conducted with Administrator, Brooks, and the Licensee’s Rights (LIC9058 01/16) along with a copy of this report was provided to the administrator via email. A reply email or return receipt from the administrator will confirm receipt of documents.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (619) 301-9770
LICENSING EVALUATOR NAME: Evangelica TorresTELEPHONE: (619) 900-1407
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2