374604477-11-21-2023-08-AS-LTEZ-CY22JA-20231128162601

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604477
Report Date: 11/17/2023
Date Signed: 11/21/2023 08:33:32 AM

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
11/08/2023 and conducted by Evaluator Natasha Persaud

COMPLAINT CONTROL NUMBER: 08-AS-20231108164036

FACILITY NAME:	SCARLETT'S CARE		FACILITY NUMBER:	374604477
ADMINISTRATOR:	SORENSON, BRADLEY		FACILITY TYPE:	735
ADDRESS:	1024 NEPTUNE DRIVE		TELEPHONE:	(619) 500-5339
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91911
CAPACITY:	4	CENSUS: 2	DATE:	11/17/2023
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Administrator, Yuri Vega		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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-Lack of supervision resulting in a client biting another client
-Staff are overmedicating a client in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Natasha Persaud conducted a complaint investigation regarding the above mentioned allegations. LPA was greeted and allowed entry into the facility and met with Administrator, Yuri Vega.

During the investigation, LPA toured the facility, requested records, and interviewed staff, clients, and outside sources. It was alleged lack of supervision resulting in a client biting another client. It was reported Client #1 (C1) bit Client #2 (C2) on the hand due to lack of supervision. C1’s Individual Program Plan dated 01/24/23, indicated C1 has physical aggression that included biting and rapid movement such as rushing or bolting. Therefore, the facility ensures two staff are present when both clients are home. On 11/08/23, C2 was in a meeting with staff and an outside source sitting in a separate common area/living room from C1. Another staff was present with C1 and in the kitchen cooking, which is in the same common area as C1. Continued on an LIC 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023

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-20231108164036

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: SCARLETT'S CARE	FACILITY NUMBER: 374604477
	VISIT DATE: 11/17/2023

NARRATIVE

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C1 got up quickly and ran to the other common area where the meeting was in process. There is a door that adjoins both common areas, which is usually kept closed. However, during the incident the door was open allowing C1 to quickly run into the other common area. Facility staff and C2 had their back turned from the area that C1 approached from. C1 quickly ran up to C2 sitting on the couch and bit C2 on the hand causing two puncture wounds. Staff took C2 to urgent care for medical attention and C2 returned to the facility the same day. Two staff were present when the incident occurred. Client interviews were unsuccessful due to their medical conditions. The incident was an unusual circumstance but not due to lack of supervision. The facility is in the process of hiring additional staff equipped to handle the behaviors in the home.

It was also alleged that staff are overmedicating a client in care. It was reported C2 is being overmedicated, which resulted in C2 not being able to keep their eyes open and being unresponsive. C2 is non-verbal and their medications are managed by the facility staff. A review of facility records indicated C2 is taking prescribed medications from their physician. An audit of physical medications reflected the medications are being administered as prescribed. Staff interviews revealed the medications are given as prescribed and per the physician’s orders. LPA observed C2 smiling at times and unresponsive at times, which was part of C2’s medical condition. Staff are following physician’s orders.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegations. The allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Yuri Vega whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Client #1 and Client #2]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023

LIC9099 (FAS) - (06/04)

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