374604227-4-27-2023-08-AS-JRAE-CRC2EV-20230428172035

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604227
Report Date: 04/27/2023
Date Signed: 04/27/2023 10:44:31 AM

Unsubstantiated

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
03/03/2023 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20230303092056

FACILITY NAME:	SUMMERFIELD OF ENCINITAS		FACILITY NUMBER:	374604227
ADMINISTRATOR:	MYERS,HEATHER		FACILITY TYPE:	740
ADDRESS:	1350 S. EL CAMINO REAL		TELEPHONE:	(760) 479-1818
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY:	56	CENSUS: 41	DATE:	04/27/2023
		UNANNOUNCED	TIME BEGAN:	10:19 AM
MET WITH:	Heather Myers		TIME COMPLETED:	10:58 AM

ALLEGATION(S):

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Staff is aggressive with resident in care.

Staff is under the influence on facility grounds.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Executive Director Heather Myers and we discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of LPA interviews with residents and facility staff and records review.

It was reported to CCL that residents were being handled aggressively by Staff #1 (S1) Complainant also reported that they observed S1 dragging residents by the arm. Resident 1(R1) and Resident 2 (R2)[an LIC 811 Confidential Names List was provided to the facility representative to identify the residents.]. Interview with Staff #2 (S2) revealed no knowledge of any staff member acting aggressively or abusing any residents in care. Staff further stated that they have never seen any staff member under the influence of drugs or alcohol at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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-20230303092056

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: SUMMERFIELD OF ENCINITAS	FACILITY NUMBER: 374604227
	VISIT DATE: 04/27/2023

NARRATIVE

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Interview with Staff #3 (S3) revealed no knowledge of any staff member acting aggressively towards or physically abusing any residents. S3 further stated that they have never seen or heard of any staff member working while under the influence of drugs or alcohol.

Interview with R1 on March 7, 2023 revealed no knowledge of S1. R1 stated that they have never been physically abused or mistreated at the facility. R1 stated that they have never witnessed a staff member under the influence of drugs or alcohol at the facility. Interview with R2 on March 7, 2023 revealed no knowledge of S1 and stated that they have never been physically abused at the facility. R2 stated that they enjoy the facility and have never seen a staff member under the influence while working at the facility.

Interview with Executive Director revealed S1 was terminated due to attendance issues in February 2023. During S1's employment at the facility they were never witnessed abusing residents, nor were they ever witnessed being under the influence of drugs or alcohol. Prior to leaving the facility S1 did express concerns that an ex-employee was causing them some issues. They were believed to have had a personal relationship outside of work.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid.

An exit interview was conducted with Heather Myers and a copy of this report and Licensee/Appeal Rights (LIC9058, 3/22) were provided to Heather Myers whose signature below confirms receipt of documents.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) 767-2317
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC9099 (FAS) - (06/04)

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