374604294-7-15-2024-18-AS-JDHS-D7BUEC-20240719153054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604294
Report Date: 07/15/2024
Date Signed: 07/15/2024 10:05:41 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
06/19/2024 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20240619164822

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: 121	DATE:	07/15/2024
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Executive Director, Jolene M. Farish		TIME COMPLETED:	10:20 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee does not ensure that resident(s) are provided with hot water while in care.
Licensee does not ensure that the facility is clean or santized.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Executive Director, Jolene M. Farish, where LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observation, interviews with staff members and residents, and records review.

On 06/19/2024, Community Care Licensing received a complaint alleging facility does not ensure that the residents are provided with hot water while in care and the facility does not ensure that the facility is clean or sanitized. It was reported that the facility did not have hot water and shower the residents with cold water. LPA sampled 5 random resident’s rooms’ water temperature and all areas met regulation’s standards. Information obtained from an interview with Executive Director stated the facility has hot and cold water and there were no maintenance issues that would give the resident’s only cold water.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

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 2

Control Number 18-AS-20240619164822

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: LAS VILLAS DEL NORTE	FACILITY NUMBER: 374604294
	VISIT DATE: 07/15/2024

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

LPA interviewed staff members and residents and no issues were advised with being able to use the hot water. LPA interviewed Facility Maintenance Manager, Michael Vitalli and advised that there was a maintenance issue regarding the hot water heater, but that the maintenance issue did not affect the resident’s ability to use hot or cold water. LPA was unable to interview additional witnesses. LPA reviewed records of the hot water heater repair made on 06/13/2024. The repair was done in a reasonable amount of time.

In regards to the allegations that the facility did not ensure that the facility was clean or sanitized, LPA interviewed Building Services Director, Christian Herbert. Herbert stated there are 2 housekeepers that complete cleaning tasks at the facility every day from 7:30 to 4:00. LPA reviewed house keeper’s logs at random date during June and all the assigned cleanings appeared to be completed. LPA also interviewed housekeepers who indicated there are no issues with cleaning or sanitizing the facility. LPA also toured the facility and did not observe any safety concerns, regarding cleaning or sanitizing violations. Information obtained from interviews with residents indicated there were no issues or concerns with the facility being clean or sanitized.

Based on the LPA’s observation, interviews conducted, and record review regarding the allegations that Licensee does not ensure that residents are provided with hot water while in care and does not ensure that the facility is clean or sanitized, these allegations are unfounded. This agency has investigated the complaint allegations and we have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report, was discussed with and provided to the Executive Director, Jolene M. Farish,

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2