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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604632
Report Date: 03/11/2024
Date Signed: 03/11/2024 01:30:07 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
03/04/2024 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20240304114154
FACILITY NAME:LOVE FIRST RESIDENCES #1FACILITY NUMBER:
374604632
ADMINISTRATOR:O'CONNELL, MICHELLEFACILITY TYPE:
735
ADDRESS:1338 BOSWORTH STTELEPHONE:
(619) 312-5299
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:6CENSUS: 6DATE:
03/11/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Caregiver Tania OzunaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility staff restricted resident from having visitors
Facility staff did not treat client with dignity and respect
Facility staff did not allow resident to do laundry.
Licensee did not provide a comfortable living environment
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Caregiver Tania Ozuna. Administrator Michelle O'connell arrived shortly after.

On March 3, 2024, Community Care Licensing (CCL) received a complaint alleging staff did not allow Client 1 (C1) to have a visitor, staff did not treat C1 with dignity and respect, staff did not allow C1 to do their laundry and C1 was not provided with a comfortable living environment. During investigation, LPA Strong collected pertinent client records as well as facility documentation and conducted interviews.
According to allegation, on an undisclosed date C1 was declined from having a visitor. Interviews with staff revealed that on the date of the incident visitor was not told they were not allowed inside. Interviews revealed that visitor did not want to go inside and was visibly upset at C1. Interview with C1 revealed visitor and C1 are no longer on speaking terms. Interview with outside sources could not corroborate that staff decline visitors for C1.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024
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-20240304114154
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: LOVE FIRST RESIDENCES #1
FACILITY NUMBER: 374604632
VISIT DATE: 03/11/2024
NARRATIVE
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It was also alleged that staff did not treat C1 with dignity and respect. According to allegations, C1 has been yelled at by staff and staff were treating C1 with an attitude. According to staff interviews, no staff has been witnessed raising their voice at C1. Interviews also revealed that C1 has aggressive behaviors that staff must redirect. Interview with outside source did not reveal any information to corroborate allegation.

Additionally, it was alleged that C1 is not allowed to have access to laundry or laundered clothes. Interviews with C1 revealed that C1 has a specific shirt they wear and do have access to other clean clothes, but one shirt is preferred. C1 stated that their favorite shirt needs to be laundered when C1 orders staff to do so. Interview with staff revealed that multiple staff provide client with access to laundry machine but C1 does not place clothes in the necessary bin for staff to aid in washing. LPA Strong made observations of C1’s bedroom and observed all C1’s clothes on the floor. Interview with staff also revealed that C1 refuses to organize clothes and they are unable to distinguish what is clean and what is dirty.

Lastly, it was alleged that C1 is not allowed to use the facility television or use personal music device in common area. Interview with staff revealed that C1 does not accept feedback when television is too loud. Interviews revealed that multiple clients with sensory issues are affected with the loud television and C1 has been told to lower the volume. Interview with Administrator revealed that C1 refuses to follow house rules which has affected multiple other clients in the home.

Based on LPA's interviews, observation, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Michelle O'connell to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2