374604065-11-7-2023-08-AS-LTEZ-CXT2UB-20231121164204

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604065
Report Date: 11/07/2023
Date Signed: 11/07/2023 02:52:01 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
09/18/2023 and conducted by Evaluator Rebecca A Ruiz

COMPLAINT CONTROL NUMBER: 08-AS-20230918154637

FACILITY NAME:	LAGUNA ESTATES SENIOR LIVING		FACILITY NUMBER:	374604065
ADMINISTRATOR:	WESLEY LAVENDER		FACILITY TYPE:	740
ADDRESS:	1088 LAGUNA DRIVE		TELEPHONE:	(760) 434-7116
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	214	CENSUS: 106	DATE:	11/07/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Resident Care Coordinator Mirayda Fleming		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Licensee did not safeguard resident belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to conduct follow up and deliver findings regarding the above mentioned allegation. LPA was greeted by, identified herself to, and explained the purpose of the visit with Resident Care Coordinator (RCC) Mirayda Fleming.

During today's visit, LPA observed residents in care and interviewed staff.

The Department’s investigation consisted of interviews with residents, staff, and outside sources, records review, and a tour of the facility. It was alleged that the licensee did not safeguard resident belongings. Interviews revealed that Resident 1 (R1) claimed that multiple clothing items had gone missing from their room and that R1 had notified facility management of the missing items.

Continued on LIC9099-C page...

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Rebecca A Ruiz	TELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023

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-20230918154637

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: LAGUNA ESTATES SENIOR LIVING	FACILITY NUMBER: 374604065
	VISIT DATE: 11/07/2023

NARRATIVE

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Review of the facility’s admission agreement revealed that residents and their representatives were informed that the facility would not be liable for any items going missing unless those items were provided to the facility for safekeeping or in the event of staff theft. Review of R1’s personal inventory document revealed that R1 and their responsible party did not entrust any items to the facility’s care. Interviews with residents and outside sources revealed that some items such as clothing or costume jewelry would occasionally go missing, but those interviews did not reveal any indication of staff stealing, taking, or misplacing resident belongings. Interviews with facility management did not reveal that management was aware of R1’s allegations of personal belongings going missing. Review of theft reports submitted to the Department did not reveal a report for R1’s claims, and pursuant to management’s statements, R1 did not disclose the missing items to facility management. Interviews with staff revealed that residents would report their concerns regarding items going missing or being stolen to direct care staff, housekeeping, or facility management. Staff stated that in a majority of cases, items that residents reported missing were either visible in the resident’s room or were located after a search of the resident’s room and their purse or bag. Interviews revealed that in the previously mentioned cases, the residents often had memory impairments. Staff stated that after a report, staff would ask to search the resident’s room and request the resident to search their purse or bag. Interviews with staff revealed that staff were instructed to report any missing or stolen items to their supervisor. Facility management were responsible for reaching out to the resident’s family or responsible party and the Executive Director would file any reports of missing or stolen items, would contact 911 to make a report to law enforcement, and would notify the Department. Interviews revealed that if an item could not be located after a search of the resident's room or the facility, residents were encouraged to contact law enforcement to report the missing items or management would contact law enforcement on the resident’s behalf. Interviews with staff did not reveal any indication of staff stealing, taking, or misplacing resident belongings.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with RCC Mirayda Fleming, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Rebecca A Ruiz	TELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2023

LIC9099 (FAS) - (06/04)

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