374604477-10-25-2024-08-AS-SJAB-DAKRTJ-20241031131822

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604477
Report Date: 10/25/2024
Date Signed: 10/25/2024 05:26:20 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
10/25/2024 and conducted by Evaluator Dang Nguyen

COMPLAINT CONTROL NUMBER: 08-AS-20241025124435

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:	DATE:	10/25/2024
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Caregiver Lamance Lynch and Administrator Monica McDade		TIME COMPLETED:	06:00 PM

ALLEGATION(S):

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-Licensee did not ensure staff had medication training.
-Licensee did not maintain telephone service for the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to commence a Complaint Investigation regarding the above allegations. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Monica McDade.

The Complainant alleged that Licensee did not ensure facility staff who passed medications had the necessary training to do so. They also alleged that Licensee did not maintain telephone service for the facility. CCLD’s investigation involved an unannounced facility tour/welfare check and interviews of all clients and pertinent staff. LPA also reviewed training records of all staff, and the Medication Administration Records (MARs) for all clients.

As it relates to assisting clients with “prescribed medications which are self-administered,” Regulation 80065(f) required all personnel to either have “on the job training” or “related experience” in the job assigned to them, as evidenced by “safe and effective job performance.” [CONTINUED ON LIC 9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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-20241025124435

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: 10/25/2024

NARRATIVE

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[CONTINUED FROM LIC 9099]

Review of training records showed that every direct care staff who was engaged in passing medications to clients initially received at least eight (8) hours of formal classroom training on the topic of medication administration, taught by qualified subject-matter experts. Interviews of 5 of 5 direct care staff also showed that each person received multiple days of on-the-job practice and skills observation with a more experienced co-worker, before they were allowed to independently pass medications to clients. Interviews of the staff and clients in care revealed nothing to suggest that medication errors were a chronic problem at the facility.

LPA also observed a medication pass and quizzed multiple direct care staff on their understanding of both medication-related terminology and best practices for accurate medication delivery; all staff interviewed displayed requisite knowledge for safe and effective job performance, as far as medication assistance was concerned. Review of the clients’ MARs showed: Staff were consistent in documenting routing medications given. Staff also met documentation requirements as it related to as-needed (PRN) medications.

LPA also tested the facility’s landline telephone, making incoming and outgoing calls on it. LPA verified that the facility has a dedicated, working telephone. Interviews of staff and clients unanimously showed that Licensee maintained this telephone in continuous operation during the time they have lived/worked at the facility, and none could recall any interruption in service to this telephone.

Based on record reviewed and interviews, a preponderance of evidence does not exist to show that Licensee did not ensure staff had medication training, or that Licensee did not maintain telephone service for the facility. Both allegations are therefore Unsubstantiated, and no deficiencies were cited for them.

An exit interview was conducted with McDade, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

LIC9099 (FAS) - (06/04)

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