374604060-4-5-2023-08-AS-SJAB-CR2SBQ-20230419134418

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604060
Report Date: 04/05/2023
Date Signed: 04/05/2023 12:27:20 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
03/27/2023 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20230327090038

FACILITY NAME:	GROSSMONT GARDENS		FACILITY NUMBER:	374604060
ADMINISTRATOR:	LANE HERMOSILLO		FACILITY TYPE:	740
ADDRESS:	5480 MARENGO AVE		TELEPHONE:	(619) 463-0281
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	425	CENSUS: 202	DATE:	04/05/2023
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Reggie Jones, Executive Director		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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-Due to insufficient staffing, resident rooms are not cleaned
-Staff does not ensure residents have adequate food service

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced visit to the facility to deliver findings for the above-mentioned complaint allegations. LPA Pena identified himself, explained the reason for the visit and was permitted into the facility. LPA met with and discussed the complaint investigation findings with Reggie Jones, Executive Director.

It was alleged that due to insufficient staffing resident rooms are not cleaned, and staff does not provide adequate food service. The Department’s investigation consisted of interviews with residents, staff, review of records and LPA observations. LPA visited the various dining rooms, common areas and a sampling of resident rooms throughout the facility. On the day of LPA’s initial visit, the resident census was 200 for 425 licensed beds.

Staff interviews and licensing records revealed that on February 16, 2023. The facility was purchased and now run by a new management company. Staff stated that many changes have taken place since the

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

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-20230327090038

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: GROSSMONT GARDENS	FACILITY NUMBER: 374604060
	VISIT DATE: 04/05/2023

NARRATIVE

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facility was taken over. Notably, staffing was reviewed and ultimately reduced. According to staff, the reason for the reduction was to increase efficiency. Thirteen (13) employees, mostly kitchen servers and housekeeping staff were laid off. Four (4) of the former employees have returned to work in a part time capacity. Staff said the number of staff versus residents in care was not justifiable since the facility is licensed for 425 but the resident census is about 200.

In regard to housekeeping and sanitation, staff interviews and facility records indicate that each resident room is cleaned weekly as they were before the layoffs. Each housekeeper works 7.5-hour shifts. And schedules indicate at least one housekeeper is on duty and assigned to serve each housing area (Gardens, East, West, South). Housekeepers clean resident rooms and common areas throughout the facility. Housekeepers also perform laundry service. Interviews with residents yielded no complaints about facility cleanliness or inadequate housekeeping service. LPA's observation during the inspection was that resident rooms were odor free, neat, and organized. LPA also noted that the common areas, hallways, and walls were without offensive orders, markings, or stains.

LPA conducted a review of facility food service for this complaint investigation. Interviews and facility records noted that each server provides service for up to five tables. Staff reported that this was changed in conjunction with the aforementioned layoffs. Previously, housekeepers only served three tables at a time. Prior to the layoffs, servers would refill resident’s coffee cups. Now, wait staff places coffee carafes on resident tables so residents can refill their cups themselves. Undeniably, staff said this may have caused some minor delays.

During the facility inspection, LPA visited the various dining rooms. LPA observed staff taking resident orders to the kitchen, serving meal orders and cleaning tables. Based on interviews, residents generally did not report dissatisfaction with food service. None of the residents interviewed stated their food service was delayed. When asked, residents stated they were satisfied with food freshness, quality, presentation, and portion size. One resident said the lunch meal, at times, is cold but also said the breakfast and dinner meals are generally served warm and are good.

When asked, staff said management sent written notification to residents and their families advising them of the changes. Staff said they also held resident council meetings. Staff received some initial concerns because prior to the changes, residents generally received a more comfortable level of service. Staff said

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20230327090038

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: GROSSMONT GARDENS	FACILITY NUMBER: 374604060
	VISIT DATE: 04/05/2023

NARRATIVE

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the residents still receive good service but now the facility is running a more efficient operation.

Based on LPAs record review, interviews with residents and staff, and facility observation, the preponderance of evidence standard was not met to prove that due to insufficient staffing, resident rooms are not cleaned, and staff does not provide adequate food service. Therefore, the allegations are Unsubstantiated.

An exit interview was conducted with Reggie Jones, Executive Director, to whom a copy of this report, and the Licensee Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Daniel Pena	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC9099 (FAS) - (06/04)

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