374604290-3-26-2024-08-AS-JLOT-D5KMWB-20240524095802

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604290
Report Date: 03/13/2024
Date Signed: 03/26/2024 03:19:51 PM

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
09/27/2022 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20220927115027

FACILITY NAME:	CADENCE AT POWAY GARDENS - MAGNOLIAS		FACILITY NUMBER:	374604290
ADMINISTRATOR:	WILLIAMS, DONELLE		FACILITY TYPE:	740
ADDRESS:	12735 MONTE VISTA RD		TELEPHONE:	(858) 312-8469
CITY:	POWAY	STATE: CA	ZIP CODE:	92064
CAPACITY:	6	CENSUS: 5	DATE:	03/13/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Executive Director (ED) Donelle Williams		TIME COMPLETED:	04:35 PM

ALLEGATION(S):

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Facility is in disrepair.
Visitors were prohibited from entering the facility.
Insufficient staff to meet residents needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to follow-up on a complaint investigation into the above listed allegations. LPA introduced herself, was granted entry, and met with Executive Director Williams, to whom she disclosed the reason for the visit.

The Department's investigation included facility records reviews, a facility tour, and staff and outside source interviews.

It was alleged the facility was in disrepair. An outside source alleged since the facility changed ownership they had noticed the facility became unkempt and noted observing cobwebs, an unsanitary rug, and low lighting due to un-replaced light bulbs. LPA, accompanied by ED Williams, Conducted a facility tour. LPA observations revealed the facility was sanitary and in good repair. Interviews conducted with facility staff revealed the facility employs maintenance staff that address repairs or any issues related to the physical plant that arise at the facility in a timely manner. Interviews with facility staff also revealed, and provided, a cleaning schedule for facility staff that tracked cleaning tasks and was signed off by staff was secured.

This is an amended version of the original complaint delivered March 13, 2024.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennifer Lott	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

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-20220927115027

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: CADENCE AT POWAY GARDENS - MAGNOLIAS	FACILITY NUMBER: 374604290
	VISIT DATE: 03/13/2024

NARRATIVE

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Facility records reviews confirmed the facility employed on-site maintenance staff. It was also alleged the facility had inadequate staffing. Staff interviews revealed there was no change in the number of staff or shifts. A facility records review corroborated there was no change in staffing since at least November of 2019. An interview with Staff 1 (S1) revealed the facility always scheduled the same number of staff even prior to 2019.
It was also alleged the facility had prohibited visitation. More specifically, and Outside Source 1 (OS1) interview revealed between years of 2020 and 2022, facility staff were not allowing children visitations. Per CCL guidelines during the beginning of the COVID-19 pandemic there was a time when visitation was prohibited in general. An interview with Staff 2 (S2) revealed visitation between the alleged years mentioned above, there was no difference with visitation guidelines made by children (i.e., children VS adult). A facility records review revealed visits were made by families, including children between 2020 and 2022. [See LIC 811 for Confidential Names List]

Due to lack of corroborating evidence, the finding regarding the above mentioned allegations were established to be unsubstantiated. This finding means although the allegations may have happened or could be valid there is not a preponderance of evidence to prove that the alleged violations occurred.

LPA conducted an exit interview with ED Williams and was provided a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) and signature on this report acknowledges receipt of the documents.

This is an amended version of the original report delivered on March,13 2024.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

LIC9099 (FAS) - (06/04)

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