374604132-5-30-2025-08-AS-APAO-DHANCC-20250603102030

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604132
Report Date: 05/30/2025
Date Signed: 05/30/2025 07:24:22 PM

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
05/21/2025 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20250521081637

FACILITY NAME:	RUSSELL HOMES INC SANTEE		FACILITY NUMBER:	374604132
ADMINISTRATOR:	MCKNIGHT COLE, TRACY		FACILITY TYPE:	735
ADDRESS:	10214 THREE OAKS WAY		TELEPHONE:	(619) 938-2667
CITY:	SANTEE	STATE: CA	ZIP CODE:	92071
CAPACITY:	4	CENSUS: 4	DATE:	05/30/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Krista Duvall		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Client sustained unexplained bruising while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to the facility to commence and conclude a complaint investigation. LPA met with Administrator Krista Duvall, identified herself, and explained the purpose of the visit.

The Departments investigation consisted of staff and outside source interviews and a client records review.
It was alleged the Client1 (C1) sustained unexplainable bruises. A client records review revealed C1 was admitted to the facility on April 20, 2019, with a primary Diagnosis of Mild Intellectual Disability (MID) and Seizures.

An interview with Outside Source1 (OS1) revealed they noticed C1 had bruising to their upper arms that appeared to be new and resembled the shape of hands or fingerprints. The interview also revealed although C1 makes noises, such as grunts, was non-verbal. An interview conducted with Outside Source2 (OS2) revealed they observed that C1 tended to lean forward or to the side, also noted during an interview with Outside Source3 (OS3), and had unsteady gate.

[Continued on LIC9099C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025

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-20250521081637

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: RUSSELL HOMES INC SANTEE	FACILITY NUMBER: 374604132
	VISIT DATE: 05/30/2025

NARRATIVE

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[Continuation of LIC9099]

OS2 also revealed attempting an interview with C1, who appeared to be in good spirits, was not qualified and corroborated C1 is non-verbal. Interviews with OS2 and OS3) both corroborated that C1’s Responsible Party (RP) disclosed C1 bruises very easily and sustains bruising all the time. The RP also disclosed a recent incident occurred while they assisted C1 in the bath and just by assisting C1 stand up by holding their arms resulted in similar bruising to C1’s arms.

An interview conducted with OS3 revealed the facility notified them regarding the incident on May 20, 2025, and OS3 conducted a visit to the facility on that same day. OS3 met with facility staff as well as the RP who happened to be present which is when OS3 was able to obtain the information from the RP mentioned above. It was also revealed the RP stated C1 is very pale which made their bruises more pronounced. The RP had no concern of any issues of abuse or mal-intent by facility staff regarding C1’s bruising. C1 and the staff get along great. The RP revealed they were very happy with the facility and C1 has resided at the facility for over six years, and had a great relationship with facility staff, which have remained consistent over time.

Interviews conducted with facility Staff1 (S1) corroborated the information disclosed by OS2 and OS3 regarding C1’s propensity to falls and how C1 easily sustains bruising. Facility staff have measures in place for fall prevention, C1 is never handled in a rough manner and staff have no control over C1 bruising. S1 also revealed C1 tends to get up in the middle of the night to use the restroom and staff are on high alert to ensure assistance with using the restroom which requires help with getting up from the toilet. S1 revealed any situation when staff must assist C1 with getting up, or other ambulation such as getting into the transport bust,, could easily result in C1 substaining bruising.

Based on interviews conducted with staff and outside sources the Department determined the allegation to be Unsubstantiated. An Unsubstantiated finding means there was insufficient evidence to meet the preponderance of evidence standard to prove the violation occurred. An exit interview was conducted with Administrator Krista Duvall, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) will be provided.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025

LIC9099 (FAS) - (06/04)

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