374604019-3-30-2023-08-AS-DPOL-CQETF7-20230330144104

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604019
Report Date: 03/30/2023
Date Signed: 03/30/2023 11:30:28 AM

Unsubstantiated

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
03/11/2021 and conducted by Evaluator Carmen Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20210311142952

FACILITY NAME:	POINT LOMA ELDER CARE		FACILITY NUMBER:	374604019
ADMINISTRATOR:	GAURAV RATHI		FACILITY TYPE:	740
ADDRESS:	3941 LIGGET DRIVE		TELEPHONE:	(619) 255-6448
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92106
CAPACITY:	6	CENSUS: 6	DATE:	03/30/2023
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Travonna, Facility Manager		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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- Staff did not afford resident with dignity.
- Staff yelled at resident.
- Staff did not afford resident to be free from intimidation.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegations. LPA identified herself and was granted entry by Carmelita Crisolo, Caregiver. LPA stated the purpose of the visit and reviewed the findings of the complaint with Facility Manager/Co-Administrator, Travonna Washington.

The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, and LPA observations. On March 11, 2021, it was alleged that the facility did not accord residents with dignity. It was also alleged that staff yelled at a resident. It was lastly alleged that staff did not afford residents to be free from intimidation.

It was specifically alleged that staff did not accord residents with dignity and would enforce napping by using furniture as a “restraint” to block the bed while a resident was napping. Interviews with outside sources did not experience staff forcing residents to sleep during the day or using furniture to block a resident’s bed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Carmen Lopez	TELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

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-20210311142952

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: POINT LOMA ELDER CARE	FACILITY NUMBER: 374604019
	VISIT DATE: 03/30/2023

NARRATIVE

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Interviews with staff denied the allegation and revealed they had not placed or witnessed other staff place any furniture around the residents’ bed while residents rested. According to staff, residents are not required to sleep as an activity, rather staff assisted residents to bed if they are tired. It was noted there were residents who tended to fall asleep in the living room after lunch and staff would assist those residents to their room to rest. Interviews with current residents said they were allowed to rest when they were tired. As they rested, residents did not experience furniture placed around their bed. During a subsequent visit on 03/01/2023, LPA observed most of the residents were in their rooms watching television or sleeping in their room. There were three residents who were resting but LPA did not observe any furniture blocking their bed or immediate area. Licensee denied the allegation and maintained that residents were not forced to sleep or take a nap. Based on the evidence gathered, there is insufficient evidence to support the allegation.

Interviews with an outside source said they had not experienced or witnessed staff yell at residents. Outside source was only informed about general work quality of staff by their loved one and their concerns were addressed. Interviews with staff denied the allegation and revealed that they had not witnessed other staff members yell at any of the residents. Staff #1 (S1) mentioned they naturally have a loud voice when speaking and have been told they seem they are being too loud. S1 said that although they are loud, they have not intentionally yelled at any residents. S1 said they do speak in a louder intonation to those residents who have difficulty hearing. Interviews with residents were consistent with staff interviewed. Residents said they had not witnessed staff members yell at residents or experienced staff yell at them. Based on the information obtained, there is insufficient evidence to support this allegation.

It was specifically alleged that staff would verbally intimidate residents when they wet themselves and make residents cry. Interview with an outside source said they did not have any knowledge of staff intimidating residents. Interviews with staff denied they intimidated residents. Staff also said they had not witnessed other staff intimidate residents. Interviews with residents said they had not had any concerns about staff making them feel intimidated. Based on the information obtained, there is insufficient evidence to verify the allegation.

Based on the Department’s investigation of the above-mentioned allegations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be unsubstantiated.

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Carmen Lopez	TELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20210311142952

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: POINT LOMA ELDER CARE	FACILITY NUMBER: 374604019
	VISIT DATE: 03/30/2023

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	The report was discussed, and an exit interview was conducted with Facility Manager/ Co-Administrator Travonna Washington. A copy of this report along with Licensee/Appeal Rights (LIC9058 03/22) was provided to Facility Manager/Co-Administatror Washington at the conclusion of the visit. The signature below serves as a confirmation that the documents were received.

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619) 767-2329
LICENSING EVALUATOR NAME: Carmen Lopez	TELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023

LIC9099 (FAS) - (06/04)

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