374604198-10-1-2020-08-AS-RHEK-BUWNMG-20201031103506

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604198
Report Date: 10/01/2020
Date Signed: 10/01/2020 05:00:40 PM

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
12/04/2019 and conducted by Evaluator Anna Kennedy

COMPLAINT CONTROL NUMBER: 08-AS-20191204083608

FACILITY NAME:	VISTA GARDENS		FACILITY NUMBER:	374604198
ADMINISTRATOR:	DELGADO, EVELYN		FACILITY TYPE:	740
ADDRESS:	1863 DEVON PLACE		TELEPHONE:	(760) 295-3900
CITY:	VISTA	STATE: CA	ZIP CODE:	92084
CAPACITY:	99	CENSUS: 70	DATE:	10/01/2020
		UNANNOUNCED	TIME BEGAN:	04:25 PM
MET WITH:	Evelyn Delgado		TIME COMPLETED:	04:56 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility failed to provide incontinence care
Facility is not adequately staffed to meet the needs of residents in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Kennedy conducted a complaint visit via a video-calling app due to COVID-19 restrictions to deliver the findings for the above allegations. LPA identified herself and stated the purpose of the video-call to Evelyn Delgado, Administrator.

During the course of the investigation LPA toured the facility, interviewed caregiviers, management staff, and family members of residents, and reviewed documents.

It was alleged that facility failed to provide incontinence care to Resident 1 (R1) (See LIC 811 for a list of confidential names) as R1 was always wet when family came to visit. Through interviews it was determined that R1 presents challenges to caregivers by refusing care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna Kennedy	TELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2020

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 3

Control Number 08-AS-20191204083608

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: VISTA GARDENS	FACILITY NUMBER: 374604198
	VISIT DATE: 10/01/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

If a resident refuses care, including incontinence care, they are trained to ask other caregivers to attempt to provide the care. If still unsuccessful inform the nursing staff and/or involve family members. Some caregivers were more successful in obtaining R1’s cooperation than others, and R1 has cooperated with family members more readily that with staff members.

Interviews with family members of five current and former residents revealed that the family members of residents that were incontinent were pleased with the care their family members received. No family member interviewed had ever witnessed any residents needing care that was not promptly provided.

According to mayoclinic.org, rashes, skin infections and sores can develop from constantly wet skin. A review of R1’s chart and nursing notes revealed that R1 has not had any skin concerns that would support the allegation that the facility was not providing incontinence care to R1. Based on the above, the preponderance of evidence standard has not been met therefore this allegation is Unsubstantiated.

It was alleged that the facility is not adequately staffed to meet the needs of residents in care. Interviews with caregivers and family members of residents revealed that care providers are assigned seven to fourteen residents, based on the level of each resident’s needs, as their primary responsibility during their shift. When the facility is a caregiver short, the additional residents are assigned to other caregivers. Other staff will “help out” including medication technicians and even management staff as needed. The caregivers interviewed reported that some days were challenging but that all staff pitch in and there is teamwork to make sure all resident’s needs are being met. The family members expressed that the facility is staffed adequately to provide the care the residents need. Some family members expressed that the care staff work too hard and they would like to see more staff employed to reduce the workload for individual caregivers. The preponderance of evidence does not support the allegation and this allegation is Unsubstantiated.

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna Kennedy	TELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 08-AS-20191204083608

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: VISTA GARDENS	FACILITY NUMBER: 374604198
	VISIT DATE: 10/01/2020

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	An exit interview was conducted with Evelyn Delgado, Administrator. via video-call. A copy of this report along with Licensee Rights (LIC9058 01/2016) was provided to Ms Delgado via email. An electronic response confirms the documents were received.

SUPERVISOR'S NAME: Rebecca Hedgecock	TELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna Kennedy	TELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2020

LIC9099 (FAS) - (06/04)

Page: 3 of 3