374604063-2-8-2023-08-AS-JRAE-CPH2TS-20230228164114

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604063
Report Date: 02/08/2023
Date Signed: 02/08/2023 05:11:32 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
09/11/2020 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20200911100939

FACILITY NAME:	MESAVIEW SENIOR ASSISTED LIVING		FACILITY NUMBER:	374604063
ADMINISTRATOR:	SETTINERI, JEFFREY		FACILITY TYPE:	740
ADDRESS:	7971 CULOWEE STREET		TELEPHONE:	(619) 379-0234
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	30	CENSUS: 28	DATE:	02/08/2023
		UNANNOUNCED	TIME BEGAN:	12:12 PM
MET WITH:	Ileana Castro, Caregiver & Genoveva Guerrero,Administrator		TIME COMPLETED:	01:49 PM

ALLEGATION(S):

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Resident had multiple falls while in care.
Staff failed to seek emergency medical services for resident.
Staff do not supervise residents properly.
Facility’s telephone is not properly manned.
Staff is unable to communicate to residents due to a language barrier.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation. LPA identified herself and discussed the purpose ofthe visit and the elements of the allegations. LPA met with Ileana Castro, Caregiver. Genoveva Guerrero arrived during the visit. LPA previously conducted interviews, made observations, and obtained and reviewed pertinent records.

LPA conducted the initial visit on 09/18/2020, and conducted a tour of the facility virtually. It was alleged resident had multiple falls while in care. Interviews revealed resident had four falls and they were sent out for observation for two of the four falls. Resident 1 (R1) fell on 02/13/2020, 04/28/2020 (unwitnessed), 07/03/2020 (unwitnessed) and 08/29/2020. R1 is supposed to walk with a walker and at least two times was observed not using it. Interviews revealed the two unwitnessed falls that the resident reported did not cause the resident to be sent out. Interviews reveals residents are all supervised and even being supervised residents can still fall and have an accident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

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-20200911100939

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: MESAVIEW SENIOR ASSISTED LIVING	FACILITY NUMBER: 374604063
	VISIT DATE: 02/08/2023

NARRATIVE

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It was alleged that staff failed to seek emergency medical services for resident. Interviews revealed, that on two occasions R1 fell and was sent out to the hospital. Interviews revealed that R1 has reported unwitnessed falls but they did not have to send R1 out due to R1 not complaining of any pain and and injuries. Now for the unwitnessed falls that were never reported they don't know about those falls. Interviews revealed the times R1 fell and medical services had to be called they were called in a timely manner and reported.
It was alleged that staff do not supervise residents properly. Interviews and observations revealed staff do rounds and check on all the residents to make sure they are where they should be. They also check to make sure the residents don't need anything. Interviews revealed they also check to make sure the residents are okay and will complete diapering and or anything else that needs to be done while doing the rounds.
It was alleged that the facility’s telephone is not properly manned. Interviews revealed that when the phone rings if staff cant answer it due to working with the residents that the phone will automatically forward the call to the administrators cell phone. Interviews revealed if the call goes unanswered the administrator or staff will return the call that same day. Interviews with residents did not reveal any issues with them missing calls or not getting their phone calls. LPAs observation included calling the phone and the call was forwarded to the cell of the administrator, which they answered and advised LPA why they forward the calls.
It was alleged that staff is unable to communicate to residents due to a language barrier. Interviews revealed that the majority of staff do speak spanish but they speak english as well. Interviews revealed english as a second language for some is a little more difficult to understand per interviews but all the staff speak in the language of the residents. Interviews revealed no complaints or issues with the staff speaking spanish to the residents that speak spanish. Interviews also revealed the staff can understand english as well as speak it.
Based on evidence obtained, there is insufficient evidence to show resident had multiple falls while in care, staff failed to seek emergency medical services for resident,
staff do not supervise residents properly, facility’s telephone is not properly manned and
staff is unable to communicate to residents due to a language barrier. The allegations are unsubstantiated. An exit interview was conducted with Genoveva Guerrero, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 02/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023

LIC9099 (FAS) - (06/04)

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