374604171-6-27-2023-08-AS-SJAB-CT7SXB-20230627141541

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 06/26/2023
Date Signed: 06/27/2023 09:35:15 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
06/12/2023 and conducted by Evaluator Iby Strong

COMPLAINT CONTROL NUMBER: 08-AS-20230612113701

FACILITY NAME:	LO-HAR SENIOR LIVING		FACILITY NUMBER:	374604171
ADMINISTRATOR:	DUCHARME-FRANKLIN, KANDY		FACILITY TYPE:	740
ADDRESS:	768 DOROTHY ST		TELEPHONE:	(619) 444-8270
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	68	CENSUS: 57	DATE:	06/26/2023
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Administrator Rhon Hipolito		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility is without an administrator.
Licensee did not treat for pests

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Administrator Rhon Hipolito.

On June 12, 2023, Community Care Licensing (CCL) received a complaint alleging facility is functioning without an administrator and facility has untreated pests.

During the investigation, LPA Strong conducted a facility inspection, conducted interviews, and reviewed facility records. According to allegations, the facility has been conducting regular business without a facility administrator. Records revealed that LPA Strong was informed of new administrator as of May 31, 2023, via in-person conversation with Operations Resource Specialist. Records also revealed new administrator has an active certification verified on the Community Care Licensing website.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023

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-20230612113701

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: LO-HAR SENIOR LIVING	FACILITY NUMBER: 374604171
	VISIT DATE: 06/26/2023

NARRATIVE

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Interview with new administrator revealed that documentation for updated administrator have been requested from corporate administration. LPA observations also established that there are multiple staff present at the facility with active administrator certification. As of today’s date, the facility is within the required reporting time frame of hiring a new administrator.

It was also alleged that facility has untreated spiders throughout the premises. During LPA’s facility inspection, there were no spiders or other pests observed. Interviews with staff present revealed no active issues with pest. Interviews with residents revealed no issues with spiders or other insects. Records collected corroborated that facility has monthly pest treatments by an outside provider. Interview with outside sources revealed no prior issues with pest observed.

Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Administrator Rhon Hipolito, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023

LIC9099 (FAS) - (06/04)

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