374604031-11-15-2023-08-AS-DPOL-CY32AY-20231129161419

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604031
Report Date: 11/15/2023
Date Signed: 11/15/2023 01:35:58 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
11/07/2023 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20231107084555

FACILITY NAME:	HELIX EMMANUEL		FACILITY NUMBER:	374604031
ADMINISTRATOR:	FLECK, JASON		FACILITY TYPE:	735
ADDRESS:	8965 JOHNSON DRIVE		TELEPHONE:	(619) 741-7603
CITY:	LA MESA	STATE: CA	ZIP CODE:	91941
CAPACITY:	6	CENSUS: 5	DATE:	11/15/2023
		UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Jonathan Sparhawk, Director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff abanoned resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegation and to deliver findings. LPA was allowed entry by Jonathan Sparhawk, Director. LPA identified herself and disclosed the purpose of the visit and elements of the complaint with the Director.

On November 6, 2023 a complaint was reported regarding the alleged failure of staff to pick up a resident from the hospital and bring them back to the adult residential facility (ARF). The resident had been discharged from the hospital and was expected to be transported to the ARF by the facility staff.

The complainant alleged that the staff responsible for transporting the resident from the hospital did not show up, leaving the resident stranded for an extended period. However, the complainant confirmed that resident had been transported back to facility the same day discharged.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023

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-20231107084555

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: HELIX EMMANUEL	FACILITY NUMBER: 374604031
	VISIT DATE: 11/15/2023

NARRATIVE

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Interviewed relevant staff member who were responsible for coordinating transportation and confirmed that resident was back at the facility. The Director wanted Resident 1 (R1) to be evaluated for additional mental health related services due to behavioral related incidents at the facility which is why resident was not initially transported back to the facility after discharge.

During today’s visit, LPA performed a brief facility tour and welfare check on residents, finding that they were safe and alert. LPA also reviewed pertinent care records and interviewed relevant staff.

Based on observations, outside sources, and records review, there insufficient evidence found to support the allegation that facility staff abandoned resident. Due to a lack of evidence, the allegation is deemed to be unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Jonathan Sparhawk, Director. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Director and his signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2023

LIC9099 (FAS) - (06/04)

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