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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604330
Report Date: 05/22/2023
Date Signed: 05/22/2023 01:07:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
03/30/2023 and conducted by Evaluator Renita Hall
COMPLAINT CONTROL NUMBER: 08-AS-20230330162956
FACILITY NAME:AMARIS CENTER FOR CHANGEFACILITY NUMBER:
374604330
ADMINISTRATOR:GASQUE, RUKHSANAFACILITY TYPE:
775
ADDRESS:250 E DOUGLAS AVETELEPHONE:
(202) 520-3781
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:40CENSUS: 31DATE:
05/22/2023
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Joseph Baker, ManagerTIME COMPLETED:
01:05 PM
ALLEGATION(S):
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Staff did not treat resident with dignity and respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit regarding the above-mentioned allegation to deliver finding. LPA was allowed entry by the Manager Joseph Baker. LPA identified herself and disclosed the purpose of the visit with the Manager Joseph Baker.

The Department investigated the above listed complaint allegation. The investigation consisted of a tour of the facility, interviews with staff, residents, and records review.

On April 4, 2023, staff were interviewed and stated that they had not seen or heard of anyone not treating residents with dignity and respect. Staff stated, sometimes residents may need to be redirected but it is always done with dignity and respect.

Continue on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023
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 08-AS-20230330162956
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: AMARIS CENTER FOR CHANGE
FACILITY NUMBER: 374604330
VISIT DATE: 05/22/2023
NARRATIVE
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Residents interviewed stated they enjoyed being at that the facility and liked what the program offered in terms of activities that ranged from arts & crafts, work opportunities, and being able to go in the community on day trips. Residents stated that they liked the manager and the owner; and residents expressed they liked the facility, and no one had been mistreated and that staff was nice to them.

Observations indicated satisfaction with services and did not support the allegation that facility staff did not treat a resident with dignity and respect. Due to a lack of evidence, the allegation is deemed to be unsubstantiated. A finding that is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with the Manager Joseph Baker. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Manager Joseph Baker and his signature on this report confirms receipt of the Licensee Rights.
SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2