374604576-10-2-2024-08-AS-JLOT-D9QRV9-20241004132107

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604576
Report Date: 10/02/2024
Date Signed: 10/02/2024 12:19:40 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
09/18/2024 and conducted by Evaluator Marisela Garcia-Centeno

COMPLAINT CONTROL NUMBER: 08-AS-20240918174829

FACILITY NAME:	MERAKEY - RAMONA VIEW		FACILITY NUMBER:	374604576
ADMINISTRATOR:	SILVA-MORALES, MIRIAM		FACILITY TYPE:	737
ADDRESS:	1432 RAMONA VIEW COURT		TELEPHONE:	(760) 571-0953
CITY:	RAMONA	STATE: CA	ZIP CODE:	92065
CAPACITY:	4	CENSUS: 4	DATE:	10/02/2024
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	LVN Case Manager, Amanda Thomas		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

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Licensee did not keep facility in good repair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA was greeted by LVN Case Manager, Amanda Thomas, to whom she explained the reason for the visit.

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

On September 18, 2024, Community Care Licensing (CCL) received a complaint alleging that the licensee did not keep the facility in good repair. It was specifically alleged that the licensee did not repair a broken window promptly putting at risk the safety of the clients and staff. On September 7, 2024, a window was broken by a client during an incident. The incident was properly reported as required by Title 22 regulations.
Continue at LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024

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-20240918174829

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: MERAKEY - RAMONA VIEW	FACILITY NUMBER: 374604576
	VISIT DATE: 10/02/2024

NARRATIVE

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(Continue from LIC9099)

A detailed review of the incident report indicated that the staff handled the incident according to regulations. In addition, the client received the appropriate care and supervision before, during, and after the incident. A staff member removed the broken glass and disposed of it accordingly to minimize safety risks. The window was covered by cardboard immediately after the incident. On September 8, 2024, the maintenance staff boarded up the window, and a new window was ordered on September 9, 2024. During a visit conducted on September 26, 2024, LPA observed the broken window that was boarded up securely with thick plywood. The window was boarded using the 5/8 inches thickness of the plywood. Which is the recommended thickness to withstand the impact of debris and strong winds. In addition, the inside windowpane was intact. The expected time of delivery for the window is 2 – 3 weeks which appears reasonable as a special-order item. No deficiencies were observed or cited during the visit on September 26, 2024, the facility was observed to be in good repair with all amenities and safety measures in working order.

The Department has investigated the above-mentioned allegation and based on observations, interviews conducted, and records reviewed there was insufficient evidence to support that the facility was in disrepair. Therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) was provided to LVN Case Manager, Amanda Thomas at the conclusion of the visit.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024

LIC9099 (FAS) - (06/04)

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