374604060-4-21-2023-08-AS-LTEZ-CRBW2S-20230428165448

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604060
Report Date: 04/21/2023
Date Signed: 04/21/2023 05:30:22 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, 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
04/14/2023 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20230414141107

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: 204	DATE:	04/21/2023
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Administrator, Reggie Jones		TIME COMPLETED:	04:11 PM

ALLEGATION(S):

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-Staff did not provide quantity of food necessary to meet resident's needs
-Insufficient staffing to meet residents' needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegations mentioned above with Administrator, Reggie Jones.

During today's visit, LPA briefly toured the facility, requested records, interviewed staff and residents. It was alleged staff did not provide quantity of food necessary to meet resident's needs. The facility's dining rooms have the menus posted along with the meal times and room tray delivery times. The residents always have access to food. Residents are able to attend any of the mulitple dining rooms for meal service. Outside source interviews revealed the residents were not receiving meals, some residents went without food. Resident inteviews confirmed they are receiving their meals. Additional outside source interviews confirmed it was miscommunication, and the meals were being served. Administrator's interview confirmed all residents receive their meals.

It was also alleged insufficient staffing to meet resident's needs. Outside source interviews revealed a resident wasn't being assisted. Resdient interviews confirmed their needs are being met. Continued on an LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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-20230414141107

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: GROSSMONT GARDENS	FACILITY NUMBER: 374604060
	VISIT DATE: 04/21/2023

NARRATIVE

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A review of facility records indicated sufficient staffing and shifts were covered. Administrator's interview revealed they provide sufficient staffing and when they are short staffed, management will fill in the gaps to ensure all residents needs are met. Administrator also explained there have been some recent changes due to a change in management, and residents and staff are readjusting. Additional outside source interviews disclosed there was a misunderstanding about insufficient staffing and staff are assisting residents and meeting their needs.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Administrator, Reggie Jones whose signature below confirms receipt of these rights.

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Natasha Persaud	TELEPHONE: (619) 301-3594
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC9099 (FAS) - (06/04)

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