374604040-8-28-2024-08-AS-JLOT-D8MS4Q-20240830133303

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604040
Report Date: 08/28/2024
Date Signed: 08/28/2024 12:42:26 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/08/2021 and conducted by Evaluator Liliana Silveira

COMPLAINT CONTROL NUMBER: 08-AS-20211108114118

FACILITY NAME:	OAK HILL RESIDENTIAL CARE II		FACILITY NUMBER:	374604040
ADMINISTRATOR:	LOFVENDAHL, BRIGITTA M		FACILITY TYPE:	740
ADDRESS:	622 TRANQUILITY GLEN		TELEPHONE:	(760) 743-8843
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 97	DATE:	08/28/2024
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Receiptionist Maria de Jesus Bejar Flores		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Facility did not safeguard resident's belongings.
Resident did not receive mail.
Resident was not treated with respect by staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced complaint investigation visit. LPA Silveira introduced themselves, met with Receptionist Maria de Jesus Bejar Flores and disclosed the purpose of the visit. The purpose of the visit was to deliver complaint findings for the above-mentioned allegations.

The Department’s investigation consisted of interviews with residents, staff and outside sources, as well as a facility records review.

On 11/18/2021, it was alleged that Resident #1 (R1) did not receive mail and that the facility did not safeguard R1’s belongings. It was alleged that R1 had food items and mail stolen from them. (CONTINUED ON NEXT PAGE, LIC 809-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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-20211108114118

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA

FACILITY NAME: OAK HILL RESIDENTIAL CARE II	FACILITY NUMBER: 374604040
	VISIT DATE: 08/28/2024

NARRATIVE

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(CONTINUED FROM FIRST PAGE, LIC 809) Department interviews with four (4) residents who resided at the facility during November 2021 revealed that the residents did not have any complaints regarding items or mail being stolen from them. Interviews with outside sources revealed that there were no reports or concerns with the theft of items or mail from residents. Interviews with facility care staff who have worked at the facility since November 2021 revealed that staff have never witnessed items being stolen from residents and residents have never reported items or mail being stolen to staff. An interview conducted with R1 on 08/16/24 revealed that R1 did not have concerns regarding items or mail going missing and expressed that they liked living at the facility. Finally, an interview with the Administrator also revealed that in August 2021, a complaint was filed with the local post office regarding facility mail not being received. The interview also revealed that there was a facility policy regarding food items having to be located in the kitchen due to pest control issues, which may have caused confusion for R1. There was not enough evidence to support these allegations.

It was also alleged that R1 was not treated with respect by staff. An interview with R1 on 08/16/24 revealed that R1 stated that the staff at the facility are “really good” and that staff treat them with respect. Interviews with four (4) residents who have resided at the facility revealed that no residents had complained about being mistreated by staff, and all residents liked living at the facility. Interviews with outside sources revealed that there are no concerns with how staff treat residents. Interviews with facility staff who have worked at the facility since 11/2021 revealed that staff have not witnessed other stall mistreating residents. Department interviews with the Administrator and Facility Nurse revealed that during November 2021, R1 was experiencing health issues that may have temporarily affected their mental health. Finally, a review of a medical record dated 04/11/2024 revealed that R1 was diagnosed with a depressive disorder that is recurrent and severe. There was not enough evidence to support this allegation.

Due to a lack of corroborating evidence, the allegations that the facility did not safeguard resident’s belongings, the resident did not receive mail and the resident was not treated with respect by staff are unsubstantiated.

LPA Silveira conducted an exit interview with Maria. At the time of the exit interview Maria was provided with a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 03/22). The signature on this report acknowledges receipt of the rights.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC9099 (FAS) - (06/04)

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