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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604171
Report Date: 07/14/2021
Date Signed: 07/14/2021 05:17:42 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/12/2021 and conducted by Evaluator Anna Kennedy
COMPLAINT CONTROL NUMBER: 08-AS-20210712083444
FACILITY NAME:LO-HAR SENIOR LIVINGFACILITY NUMBER:
374604171
ADMINISTRATOR:DUCHARME-FRANKLIN, KANDYFACILITY TYPE:
740
ADDRESS:768 DOROTHY STTELEPHONE:
(619) 444-8270
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:68CENSUS: 55DATE:
07/14/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Kandy FranklinTIME COMPLETED:
05:24 PM
ALLEGATION(S):
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Facility is not kept clean
Facility is not kept free of insects
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kennedy conducted an unannounced Complaint Visit to investigate the above allegations. LPA met with Kandy Franklin, Administrator and discussed the purpose of the visit.

LPA conducted a tour of the facility accompanied by Paula McKnight, Maintenance Supervisor, requested records, and interacted with clients in care. The LPA observed a general state of uncleanliness throughout the facility including substances on the floor rending the floors sticky, toilets with feces on them, bugs in some living area, floors in living areas, bathrooms and showers that are stained and have solid and/or liquid waste on them. Based on these observations these allegations are substantiated. A substantiated finding means the allegations are valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna KennedyTELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
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 4
Control Number 08-AS-20210712083444
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: LO-HAR SENIOR LIVING
FACILITY NUMBER: 374604171
VISIT DATE: 07/14/2021
NARRATIVE
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Deficiencies is cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations and are listed on LIC 9099-D.

An exit interview with Kandy Franklin was conducted at the conclusion of the visit. A copy of appeal rights (LIC9058 01/16), along with a copy of this report was sent to Ms. Franklin via electronic mail. An electronic response will confirmation of receipt of documents.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna KennedyTELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 08-AS-20210712083444
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: LO-HAR SENIOR LIVING
FACILITY NUMBER: 374604171
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/16/2021
Section Cited
CCR
87303(a)
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87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by:
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Administrator's plan is to have staff complete deep cleaning of the entire facility to be completed by POC date. A daily cleanliness inventory will be completed ongoing.
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LPA observations revealed that the facility floors were soiled with liquid and solid waste, bathrooms had toilets with feces, posing a potential risk to the health and safety of 55 of 55 residents in care.
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Type B
07/23/2021
Section Cited
CCR
87303(f)(1)
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87303 Maintenance and Operation (f) (1) Solid waste shall be … disposed of in a manner that will not … provide a breeding place or food source for insects. This requirement was not net as evidenced by:
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Administrator's plan is to immediately request a visit from the exterminator. A policy will be developed and signed by residents that un-packaged food stuff or other items that attract insectsmay not be stored in resident rooms. Documents provided to CCL by POC date.
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Based on LPA observations food waste was in resident room with insects on/near the food waste posing a potential risk to 55 of 55 residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna KennedyTELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4