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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604531
Report Date: 10/24/2024
Date Signed: 10/25/2024 08:22:25 AM

Substantiated


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
06/10/2024 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20240610120347
FACILITY NAME:BARRON BOARD AND CARE #2FACILITY NUMBER:
374604531
ADMINISTRATOR:BARRON, SONIAFACILITY TYPE:
735
ADDRESS:2305 HIGHVIEW LN.TELEPHONE:
(858) 699-1220
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 2DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
03:21 PM
MET WITH:Manny Navarro, CaregiverTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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9
Staff do not ensure that resident's toileting needs are met
Staff do not ensure that resident's dietary needs are met
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with Manny Navarro, Caregiver to discuss the purpose of the visit.

LPA conducted the initial investigation visit on June 14, 2024, and was able to interview clients, facility staff, and outside sources. LPA also reviewed records and conducted a physical inspection of the facility. It was alleged that staff do not ensure that resident's toileting needs are met. Interviews revealed that staff have suggested that the clients do not flush the toilets when they are upstairs when they retreat to their rooms. Interviews revealed Client 1 (C1) uses a urinal so that they don't have to use the bathroom or flush the toilet. Interviews revealed that they never told them not to flush the toilet but it was suggested to save money and water. Interview with staff revealed they have the clients flush after each use. Interviews revealed that C1 had a urinal in their room that they used when they did not go into the bathroom. Interviews revealed that C1s toileting needs were not met.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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 5
Control Number 08-AS-20240610120347
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: BARRON BOARD AND CARE #2
FACILITY NUMBER: 374604531
VISIT DATE: 10/24/2024
NARRATIVE
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It was also alleged that staff do not ensure that resident's dietary needs are met. Interviews revealed that the Staff 1 (S1) does not let C1 get ice or ice water. Interviews revealed that the clients get tap water at meals and anytime they are thirsty. There were no bottled waters observed and when C1 asked for water while LPA was at the facility S1 got irritated and gave the client some ice and LPA watched as they turned the kitchen faucet on to give the client water. S1 then told LPA “look at what you started”. Interviews revealed that S1 usually tells C1 that they can not have ice.

The investigation did produce supporting evidence and supporting witness statements to substantiate staff do not ensure that resident's toileting needs are met and staff do not ensure that resident's dietary needs are met. The complaint allegation is substantiated.

An exit interview was conducted with Manny Navarro, Caregiver and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
06/10/2024 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20240610120347

FACILITY NAME:BARRON BOARD AND CARE #2FACILITY NUMBER:
374604531
ADMINISTRATOR:BARRON, SONIAFACILITY TYPE:
735
ADDRESS:2305 HIGHVIEW LN.TELEPHONE:
(858) 699-1220
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 2DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
03:21 PM
MET WITH:Manny Navarro, CaregiverTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not allow resident to possess personal belonging
Staff do not allow resident to talk on the phone
Staff speak inappropriately to resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with Manny Navarro, Caregiver to discuss the purpose of the visit.

LPA conducted the initial investigation visit on June 14, 2024, and was able to interview clients, facility staff, and outside sources. LPA also reviewed records and conducted a physical inspection of the facility. It was alleged that the staff do not allow resident to possess personal belongings. Interviews revealed the clients have a bottle in their room to drink water when they are thirsty. Interviews revealed that (Staff) S1 did not take their water bottle away. LPA observed the water bottle in C1s room.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 08-AS-20240610120347
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: BARRON BOARD AND CARE #2
FACILITY NUMBER: 374604531
VISIT DATE: 10/24/2024
NARRATIVE
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There were no other complaints about S1 taking the water bottle from any other clients.

Staff do not allow resident to talk on the phone. Interviews revealed the clients can use their phones and the facility phone if needed. Interviews did not reveal that S1 does not allow them to talk on the phone. Interviews with clients stated they are able to talk on their phones.

Staff speak inappropriately to the resident. Interviews did not reveal that S1 talks inappropriately to the clients. Interviews with clients did not reveal that S1 speaks to them inappropriately. S1 denied the allegation of speaking to the clients inappropriately. Interviews revealed the staff talk to the clients with respect and are kind. Interviews revealed the clients are treated with respect. No interviews revealed that the staff don't treat the clients with respect. There were no complaints from clients regarding being spoken to inappropriately.

The investigation did not produce supporting evidence or supporting witness statements to substantiate staff do not allow resident to possess personal belonging, staff do not allow resident to talk on the phone and staff speak inappropriately to resident. Based on the evidence obtained from interviews, and record review, the complaint allegation is unsubstantiated.

An exit interview was conducted with Manny Navarro, Caregiver and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 08-AS-20240610120347
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: BARRON BOARD AND CARE #2
FACILITY NUMBER: 374604531
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2024
Section Cited
CCR
80072(a)(3)
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a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.This requirement is not met as evidenced by:
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Staff will complete a training on personal rights and toileting needs. Once completed the staff will submit sign in sheet and training to CCL by POC due date of 11/08/2024
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Based on interviews, the licensee did not ensure that 1 of 4 residents toileting needs are met. This posed a potential personal rights risk to persons in care.
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Type B
11/08/2024
Section Cited
CCR
80072(a)(2)
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(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.This requirement is not met as evidenced by:
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Staff will complete a training on personal rights and dietary needs. Once completed the staff will submit sign in sheet and training to CCL by POC due date of 11/08/2024
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Based on interviews, the licensee did not ensure that 1 of 4 resident's dietary needs are met. This posed a potential personal rights risk to persons in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5