374604188-8-16-2024-08-AS-SJAB-D9LSWD-20240930141409

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604188
Report Date: 08/16/2024
Date Signed: 08/16/2024 02:28:54 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
11/28/2022 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20221128151448

FACILITY NAME:	R&A HOMES		FACILITY NUMBER:	374604188
ADMINISTRATOR:	SAMS, ROSE		FACILITY TYPE:	735
ADDRESS:	1670 BAKERSFIELD ST		TELEPHONE:	(619) 962-8009
CITY:	LEMON GROVE	STATE: CA	ZIP CODE:	91945
CAPACITY:	4	CENSUS: 3	DATE:	08/16/2024
		UNANNOUNCED	TIME BEGAN:	12:57 PM
MET WITH:	Adrian Yego, Staff & Lelani Sams, House Manager		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Licensee did not meet resident's incontinence needs
Licensee did not meet resident's dietary needs
Licensee did not meet resident's hygiene needs
Licensee did not obtain medical care for resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to commence an investigation into the above listed complaint allegation. After introducing herself, LPA was granted entry into the facility and met with Adrian Yego,staff to whom she explained the reason for the visit. Lelani Sams, House Manager arrived during the visit.

The investigation consisted of a tour of the facility, interview of staff, and review of facility and outside source records. It was alleged that Licensee did not meet resident's incontinence needs. On or about November 2022 an outside source described Client 1 (C1) as "very stinky". It was revealed that C1 is fully dependent upon staff and wears adult diapers. The client is changed anytime that the staff observe that C1 is wet or has had a bowel movement (BM). C1 is changed prior to leaving for program everyday. Interviews revealed that if client is wet or has a BM it occured while client was enroute to program. Interviews revealed staff denied the claim of the licensee not meeting the residents incontinence needs.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024

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-20221128151448

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: R&A HOMES	FACILITY NUMBER: 374604188
	VISIT DATE: 08/16/2024

NARRATIVE

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It was alleged that licensee did not meet resident's dietary needs. Interviews revealed that C1 eats prior to leaving for program and at times when C1 refuses to eat breakfast the staff will send a breakfast bar and water with C1 to eat when they get hungry. Interviews revealed the staff try to have the clients eat prior to leaving for program, but staff cannot make the clients eat at that time if the client does not want too. Staff denied not meeting the residents dietary needs.

It was alleged that licensee did not meet resident's hygiene needs. Interviews revealed the staff meet the residents needs by bathing, toileting and performing hygiene such as cutting finger nails and toe nails. Interviews revealed all clients are bathed daily. Some clients in the morning prior to program if they need the shower. If not, interviews revealed the clients bathe when they return back to the facility in the evenings. Staff denied not meeting the residents hygiene needs.

It was alleged that licensee did not obtain medical care for resident. Interviews revealed that they take the clients to receive medical attention. There has not been any reason the C1 needed to go to the hospital. Interviews revealed the clients are seen by a medical professional when they need to be. Staff deny not obtaining medical attention for the client. Interviews revealed the client did not have any rashes or sores on their thighs or legs. Upon LPA observation the client did not have any scratches or rashes or sores at the time of interview and no indication of the sort.

Based upon the foregoing, the above listed allegations are unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Lelani Sams at the conclusion of the visit. She was provided a copy of Licensee Appeal Rights (LIC 9058 03/22), and her signature on this report acknowledges receipt of copies of the rights and the report.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024

LIC9099 (FAS) - (06/04)

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