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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604137
Report Date: 02/09/2023
Date Signed: 02/09/2023 11:43:03 AM


Document Has Been Signed on 02/09/2023 11:43 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507



FACILITY NAME:AFFIRMATIVE'S ELITE HOMEFACILITY NUMBER:
374604137
ADMINISTRATOR:HARAGOS, RONNIFACILITY TYPE:
740
ADDRESS:1729 SUMMIT DRTELEPHONE:
(760) 294-0357
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:6CENSUS: 4DATE:
02/09/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Bonnie Haragos, Licensee
Ronni Haragos, Administrator		TIME COMPLETED:
12:00 PM
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Licensing Program Analyst(LPA) Tricia Danielson and Licensing Program Manager(LPM) Deborah Mullen met with Licensee(LIC) Bonnie Haragos and Administrator(AD) Ronni Haragos at the Riverside Adult and Senior Care Regional Office for an informal meeting to discuss concerns Community Care Licensing(CCL) has regarding the Licensee's disregard of information obtained from CCL regarding the lawfulness of a proposed plan by the facility.
On November 30, 2022, LIC Haragos emailed LPA Danielson asking if it was "lawful" to prevent a resident from leaving the facility to attend a day program through the flu season, specifically until the end of March, in order to possibly prevent the spread of germs to other residents. On December 1, 2022, LPA Danielson responded to LIC Haragos' email informing her that it was not lawful to do so and provided recommendations for infection control measures the facility could take to mitigate the spread of any germs. On December 2, 2022, LIC Haragos emailed LPA Danielson again asking if there was anything else the facility could do besides practicing infection control measures. On December 3, 2022, LIC Haragos text messaged Resident #1's (R1's) family and asked them if it would be OK with them if R1 did not attend their day program to possibly prevent the spread of germs to other residents. On December 5, 2022, LPA Danielson responded to LIC Haragos' 12/2/22 email and reiterated the unlawfulness of restricting a resident from movement to and from the facility. During a facility visit on February 3, 2023, LPA Danielson interviewed LIC Haragos who reported she had asked R1 if they would be OK with staying home from the day program to help prevent the spread of germs to other residents.
During today's meeting, LPM Mullen discussed LIC Haragos' disregard of the information provided to her by LPA Danielson. AD and LIC Haragos reported their intentions may have been misrepresented in their email communications with LPA Danielson and that there was no ill will intended in their actions related to R1. LPM Mullen expressed understanding of the intent of the emails sent by LIC Haragos.
An exit interview was conducted and a copy of this report was provided.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia DanielsonTELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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