374604294-7-12-2022-18-AS-DMUN-CHFV6Q-20220819160954

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604294
Report Date: 07/12/2022
Date Signed: 07/12/2022 11:54:04 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2022 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220708092838

FACILITY NAME:	LAS VILLAS DEL NORTE		FACILITY NUMBER:	374604294
ADMINISTRATOR:	FARISH, JOLENE		FACILITY TYPE:	740
ADDRESS:	1325 LAS VILLAS WAY		TELEPHONE:	(760) 741-1047
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92026
CAPACITY:	198	CENSUS: 198	DATE:	07/12/2022
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Jolene Farish, Executive Director		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility refrigerator is not maintained in working condition

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to initiate an investigation into the allegation listed above. LPA met with Executive Director (ED) Jolene Farish and explained the purpose of the visit.
During today's visit, LPA toured the kitchen, resident Bistro area, and interviewed ED Farish. Regarding the allegation "Facility refrigerator is not maintained in working condition", it was alleged that the facility's refrigerator had been non-operable for approximately three (3) weeks and that the food in the refrigerator was rotten. It was additionally alleged that it was unknown how staff were feeding the residents and that the menu was subsequently not been followed as posted. Interview conducted with ED Farish revealed the main walk-in refrigerator in the facility kitchen did stop working on July 3, 2022 and a technician was summoned to the facility who made some repairs to get the refrigerator working again. On July 4th, the refrigerator stopped working once again and a technician came back to the facility and made a temporary fix but also discovered the compressor needed full replacement due to age. While waiting for replacement (CONTINUED ON LIC9099C)

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

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 18-AS-20220708092838

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LAS VILLAS DEL NORTE	FACILITY NUMBER: 374604294
	VISIT DATE: 07/12/2022

NARRATIVE

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(CONTINUED FROM LIC9099)
quotes, the facility moved all perishable foods into another smaller refrigerator in the kitchen, two (2) additional refrigerators in the resident Bistro, and meats were placed in the walk-in freezer which was verified by LPA during today's visit. There have been no changes in the menu as a result of the issue.
This agency has investigated the complaint alleging "Facility refrigerator is not maintained in working condition". We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. An exit interview was conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC9099 (FAS) - (06/04)

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