374604103-7-8-2021-08-AS-RHEK-C57Q32-20210723114801

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604103
Report Date: 07/08/2021
Date Signed: 07/08/2021 03:25:30 PM

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
06/29/2021 and conducted by Evaluator Anna Kennedy

COMPLAINT CONTROL NUMBER: 08-AS-20210629144634

FACILITY NAME:	SIENNA AT OTAY RANCH SENIOR LIVING		FACILITY NUMBER:	374604103
ADMINISTRATOR:	REBECCA WILLIAMS		FACILITY TYPE:	740
ADDRESS:	1290 SANTA ROSA DR		TELEPHONE:	(619) 550-4521
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	137	CENSUS: 62	DATE:	07/08/2021
		UNANNOUNCED	TIME BEGAN:	12:18 PM
MET WITH:	John Brennan		TIME COMPLETED:	04:04 PM

ALLEGATION(S):

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Resident was dehydrated
Resident was malnourished
Resident has scabies
Resident developed a UTI while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kennedy conducted an unannounced complaint visit to investigate the above allegations. LPA identified herself and met with John Brennan, Executive Director and discussed the purpose of today's visit.
During today’s visit, LPA toured the facility, reviewed records and conducted interviews.
Investigation revealed that the Resident 1 (R1) (See LIC811 for a list of confidential names) has not resided in the facility for over 7 months. None of the allegations in this complaint were the result of the care received at this facility. Based on interviews and review of documentation, it was determined that the complaint allegations are Unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. We have therefore dismissed the complaint allegations.
This report was discussed with John Brennan, executive director. A copy along with Licensee Rights (01/2016) was emailed to Mr. Brennan at the conclusion of the visit and an electronic response confirms the receipt of these documents.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna Kennedy	TELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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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