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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604294
Report Date: 10/21/2024
Date Signed: 10/21/2024 02:17:06 PM

Unsubstantiated


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
10/15/2024 and conducted by Evaluator Janette Romero
COMPLAINT CONTROL NUMBER: 18-AS-20241015095756
FACILITY NAME:LAS VILLAS DEL NORTEFACILITY NUMBER:
374604294
ADMINISTRATOR:FARISH, JOLENEFACILITY TYPE:
740
ADDRESS:1325 LAS VILLAS WAYTELEPHONE:
(760) 741-1047
CITY:ESCONDIDOSTATE: CAZIP CODE:
92026
CAPACITY:198CENSUS: 167DATE:
10/21/2024
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Administrator, Jolene FarishTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff did not ensure a resident was properly fed
Staff are mistreating a resident while in care
INVESTIGATION FINDINGS:
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On 10/21/2024, Licensing Program Analyst (LPA), Janette Romero made an unannounced visit to the facility to investigate the allegations listed above. LPA met with Administrator, Jolene Farish who was informed of the purpose of the visit.

It was alleged a resident arrives to the dining room at 11:30 a.m. and their food is not served until 1:00 p.m. It was also alleged the resident walked away from the dining room with no food due to the long wait time(s). It was further alleged Staff 1 (S1) and Staff 2 (S2) yell at the resident and are rude to them. The alleged victim's name was not disclosed; therefore, LPA interviewed a sample of five (5) residents. Culinary Service Director (CSD), George "Lynn" Sharp was also interviewed and reported the facility offers a daily menu where breakfast is scheduled to be served at 8:00 a.m., lunch at 12:00 p.m and dinner at 5:00 p.m. CSD also reported the facility offers an alternative menu with options available from 8:00 a.m. to 6:30 p.m.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Tricia DanielsonTELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janette RomeroTELEPHONE: (951) 529-2930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
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-20241015095756
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: 10/21/2024
NARRATIVE
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CSD explained some residents arrive to the dining room approximately one (1) hour before daily menu options are scheduled to be served and consider it waiting time, however meals from the daily menu are not ready until the scheduled serving times. CSD also explained if many residents request a custom meal or options from the alternative menu, this may delay food orders for a few minutes but not an hour and half. Three (3) of five (5) residents interviewed reported waiting over an hour to receive their meals on a daily basis, but were unable to report whether they arrive to the dining room an hour before meals are scheduled to be served or if they request a custom meal. Two (2) of five (5) residents interviewed refuted the allegation and reported they only wait a few minutes for their meals to be served. All five (5) residents interviewed reported they have never walked away from the dining room without a meal due to extensive wait times.

Five (5) residents interviewed reported facility staff do not yell at them and are not rude, including S1 and S2. Only one (1) of five (5) staff interviewed reported having knowledge of S1 yelling at a resident but they were unable to identify the resident or provide a description of the resident. During today's visit, LPA sat in the dining room during lunch time and did not observe any residents waiting for meals to be served for an extended period of time. LPA shared a dining room table with Resident 1 and observed their lunch was served six (6) minutes after they placed their order with the server. Based on the aforementioned, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Administrator Farish.
SUPERVISOR'S NAME: Tricia DanielsonTELEPHONE: (951) 202-5067
LICENSING EVALUATOR NAME: Janette RomeroTELEPHONE: (951) 529-2930
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2