374604298-8-4-2022-08-AS-IESA-CHT2HH-20220830172445

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604298
Report Date: 08/04/2022
Date Signed: 08/04/2022 02:46:58 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
06/23/2022 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20220623130438

FACILITY NAME:	MACKENZIE CARE HOME		FACILITY NUMBER:	374604298
ADMINISTRATOR:	PREECE, RAQUEL		FACILITY TYPE:	735
ADDRESS:	2487 MACKENZIE CREEK R		TELEPHONE:	(619) 752-9851
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91914
CAPACITY:	4	CENSUS: 4	DATE:	08/04/2022
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Raquel Preece, Administrator		TIME COMPLETED:	12:10 PM

ALLEGATION(S):

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Client was sexually abused while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced complaint visit to deliver findings. LPA identified herself and was invited in to the facility. LPA met with Tara Lockhart Caregiver, and Raquel Preese Administrator arrived during the visit and we discussed the outcome of investigation.

It was alleged that Client 1 (C1) was sexually abused while in care. On 06/21/2022, C1 complained of pain and discomfort when urinating. Interviews revealed administrator Hampton transported C1 to Urgent Care in Chula Vista and C1 was seen by Nurse Practitioner (NP). While at urgent care administrator Hampton received an emergency call and told C1 he would return shortly and that he would send the director (his wife) to be with him. A review of documents revealed that C1 has the capacity to be at hospital unsupervised, C1 is independent and does not need any supervision. C1 has no conservator and the administrator Hampton had explained that to the NP. Interviews revealed the director had arrived at Urgent Care shortly after.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

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 08-AS-20220623130438

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: MACKENZIE CARE HOME	FACILITY NUMBER: 374604298
	VISIT DATE: 08/04/2022

NARRATIVE

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Interviews revealed that C1 was being seen by the NP and they diagnosed C1 with a sexually transmitted disease, (STD). Interviews also revealed NP ordered lab work and a urine sample to submit and confirm their diagnoses. The NP proceeded to treat C1 for the STD prior to receiving the lab results. C1 was administered the first injection of two injections of 500mg of ceftriaxone to treat Gonorrhea and Chlamydia. Interviews revealed when the NP received C1’s lab results, the results were negative for any sexually transmitted disease, negative for any bacterial infection and negative for urinary tract infection.

Interviews revealed that the director arrived at Urgent Care to follow-up with C1 and spoke with the NP, who was unable to diagnose or provide additional treatment for C1 and recommended C1 to follow-up with their primary care physician. Furthermore, the NP proceeded to tell the Director their concern for C1 and believed that C1 may be a victim of sexual abuse.

Interviews revealed that the director and C1 left Urgent Care and drove to Sharp Chula Vista Emergency Room where C1 was seen by attending Physician Assistant (PA) who diagnosed C1 with Phimosis (a congenital narrowing of the opening of the foreskin so that it cannot be retracted) which can cause irritation caused by poor hygiene. C1 was prescribed medication and educational material. The PA was supervised by ER physician during C1s examination and did not report negligence or suspicion of sexual abuse in the diagnoses or discharge summary. Interviews revealed C1 denied any sexual abuse by anyone and denied being sexually active.

This allegation is Unsubstantiated.

An exit interview was conducted with Director Preece. A copy of this report and Licensee Appeal Rights (9058 01/16) were provided to Administrator at the conclusion of the visit.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

LIC9099 (FAS) - (06/04)

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