374604103-7-28-2023-08-AS-SJAB-CU6QBJ-20230728120137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604103
Report Date: 07/28/2023
Date Signed: 07/28/2023 08:44:10 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
07/15/2020 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20200715082440

FACILITY NAME:	SIENNA AT OTAY RANCH SENIOR LIVING		FACILITY NUMBER:	374604103
ADMINISTRATOR:	MENDEZ, RUBY GOMEZ		FACILITY TYPE:	740
ADDRESS:	1290 SANTA ROSA DR		TELEPHONE:	(619) 550-4521
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	0	CENSUS: 0	DATE:	07/28/2023
		UNANNOUNCED	TIME BEGAN:	08:32 AM
MET WITH:	Report Mailed to former licensee via USPS Certified Mail		TIME COMPLETED:	08:45 AM

ALLEGATION(S):

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Licensee did not meet residents' care needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano sent this report to the former licensee at their last known mailing address via USPS certified mail and via email to deliver the investigation findings for the above allegation. The facility ceased operations on or about August 25, 2021.

Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA direct observation and interviews with facility staff.

It was reported to CCL that the facility was short staffed. It was alleged that staff could not answer the resident's call buttons for 30-40 minutes due to the shortage of staff. It was also reported that their are residents who are "two person assists" but only one staff is assisting them. Interview with facility staff revealed they have been working at the facility for approximately ten months as the lead caregiver. Facility staff stated that there has not been any noticeable staffing issues even during the COVID-19 pandemic. Facility staff explained that their are generally three caregivers and one Med Tech per shift in the assisted living section.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 08-AS-20200715082440

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SIENNA AT OTAY RANCH SENIOR LIVING	FACILITY NUMBER: 374604103
	VISIT DATE: 07/28/2023

NARRATIVE

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Facility staff stated that their has not been any noticeable staffing issues even during the COVID-19 pandemic. Facility staff explained that their are generally three caregivers and one Med Tech per shift in the assisted living section. Facility stated that when staff get overwhelmed or if staff call out sick, other employees will assist with coverage willingly. Facility staff further stated that the assisted living section uses pendants (call buttons) and the expectation is to answer the call within 10 minutes. Facility staff explained that in general staff do not get overwhelmed because other staff are good about covering duties and management is also supportive.

Interview with Resident Care Director (RCD) revealed they have been working at the facility for approximately one year. RCD explained that due to the COVID-19 pandemic, their has been a "little bit" more call outs from staff. However, there has not been any issues with other staff members covering for the staff that called out. RCD explained that each shift usually has three caregivers and one Med Tech. Pendant calls are responded to within 10 minutes. If staff are preoccupied with other residents or tasks, they will communicate it over the radio and let the resident know it will be a little longer. RCD stated their are approximately 8-10 residents that require a higher level of care. RCD stated Incontinent residents are checked periodically according to their care plan.

Interview with Executive Director (ED) revealed their are generally three caregivers, one Med Tech, the Activities Director, and the Resident Services Director for each shift in the assisted living section of the facility. ED stated that in the past few months, there had been a slight increase in the number of staff members calling out of work. This was being done as a precaution due to symptoms associated with COVID-19. In these instances, management would try to call in other employees and if unsuccessful, have Med Techs and Directors/Management cover. ED stated that employees are cross trained to provide care for residents so it was not a problem. ED estimated that there were approximately 8-9 residents in the AL that required a higher level of care such as two person assist, and incontinence care. There are approximately 9 residents on hospice. ED stated that they have not had any problems with staff getting overwhelmed because other staff were always able to assist. ED stated that only the assisted living side used call pendants. ED further stated that the expectation is that a staff member will respond to a pendant call within 10 minutes or less. At times, if staff are unable to assist immediately, they will communicate with other staff and will let the resident know they'll be there soon.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20200715082440

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: SIENNA AT OTAY RANCH SENIOR LIVING	FACILITY NUMBER: 374604103
	VISIT DATE: 07/28/2023

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid. A copy of this report along with Licensee/Appeal Rights (LIC 9058) was mailed via USPS Certified Mail to the former licensee’s mailing address on file.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2023

LIC9099 (FAS) - (06/04)

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