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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604438
Report Date: 07/09/2024
Date Signed: 07/12/2024 01:51:01 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
07/01/2024 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20240701113955
FACILITY NAME:TWINCESS CAREFACILITY NUMBER:
374604438
ADMINISTRATOR:CAPITO, JERLYNFACILITY TYPE:
735
ADDRESS:6350 TWILA LANETELEPHONE:
(619) 269-7085
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:4CENSUS: DATE:
07/09/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:TIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Licensee's staff did not treat resident with dignity and respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Admistrator Fe Alverez and discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency.

Regarding the allegation, staff did not treat client with dignity and respect, it was reported that facility staff spoke to a client in a undiginided manner. Interviews with clients revealed that no one witnessed staff speaking to client in a disrespectful or undignified manner. Interviews with facility staff revealed that staff denied any instances of speaking to clients in a disrespectful or undignified manner, only verbal redirection and defensive measures to stop verbal and threatening physical assaults by client.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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 08-AS-20240701113955
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: TWINCESS CARE
FACILITY NUMBER: 374604438
VISIT DATE: 07/09/2024
NARRATIVE
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Sources report that the facility staff made numerous attempts to motivate or encourage the client to make healthier choices by encouragement. These sources did not witness the facility treat the client without respect or dignity however, they were informed by the client that racial slurs or humiliating names were being used by staff. Staff interviews and records stated they use redirection. Staff also leave the physical area to try and stop client from escalating behaviors.

Based on further investigation, it was revealed client used inappropriate physical intimidation and inappropriate verbal intimidation to staff. Sources report staff did not use verbal humiliation while redirecting physical intimidation or verbal intimidation by client during two escalated incidences. Staff interviews also indicated behaviors from client are elevated when staff interacts with other clients or when client does not have money.

Based on LPA's interviews, record reviews, and observation there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated.

An exit interview was conducted with Administrator Jeryln Capito to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2