374604148-8-22-2023-08-AS-DPOL-CW3SQ3-20230927140403

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604148
Report Date: 08/22/2023
Date Signed: 08/22/2023 12:51:58 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
05/11/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20230511082652

FACILITY NAME:	ABIGAIL'S HOMES II		FACILITY NUMBER:	374604148
ADMINISTRATOR:	GONZALEZ, BRENDA ABIGAIL		FACILITY TYPE:	735
ADDRESS:	8738 VALENCIA ST		TELEPHONE:	(619) 315-7407
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	4	CENSUS: 2	DATE:	08/22/2023
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Raquel Garcia, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Resident missed medical appointment
Staff mismanaged resident's medication
Staff failed to meet resident's needs
Staff failed to provide a comfortable environment

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Raquel Garcia, Administrator to discuss the purpose of the visit.

LPA conducted a physical inspection of the facility, collected relevant records, and conducted interviews with clients, facility staff, and outside sources. It was alleged resident missed medical appointment . Interviews revealed that Client 1 (C1) made all of her appointments that were made by the facility staff. Interviews revealed there was one appointment that was made prior to C1 moving to the facilty and the staff at the facility rescheduled the appointment therefore the client assumed they missed the apoointment. Interviews with an outside source stated the client told them that they missed the appointment and in the same conversation stated that they did actaully go to the appointment.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023

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-20230511082652

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: ABIGAIL'S HOMES II	FACILITY NUMBER: 374604148
	VISIT DATE: 08/22/2023

NARRATIVE

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It was alleged that staff mismanaged resident's medication. Interviews revealed the client has been receiving the same medications the whole time they has been at the facility. Interviews revealed that on this day C1 complained they were already upset when they said that they were given someone else's medications. Interviews revealed C1 does not know exactly how many pills they take or what all they are taking medications for.

It was alleged that staff failed to meet resident's needs, Interviews revealed that staff took client to all of their appointments and the ones they could not make, they rescheduled. Interviews revealed that the client is given their medications on time as prescribed by their doctor and that all their other needs are met.

It was alleged that staff failed to provide a comfortable environment. Interviews revealed that it was alleged that staff were having sex in the other empty room at the facility. Interviews revealed that there were never any staff having sex with each other at the facility at any time. Interviews revealed that C1 could not say who the staff were or what day it was when the alleged sexual activity occurred.

Based on the evidence obtained from interviews, records review, the complaint allegations are unsubstantiated.

An exit interview was conducted with Raquel Garcia, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023

LIC9099 (FAS) - (06/04)

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