374604675-8-28-2024-08-AS-SJAB-D8MLJZ-20240830084844

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 08/28/2024
Date Signed: 08/28/2024 11:37:25 AM

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
07/24/2024 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20240724163501

FACILITY NAME:	GROSSMONT GARDENS SENIOR LIVING		FACILITY NUMBER:	374604675
ADMINISTRATOR:	JONES, REGINALD		FACILITY TYPE:	740
ADDRESS:	5480 MARENGO AVE		TELEPHONE:	(619) 463-0281
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	425	CENSUS: 377	DATE:	08/28/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Reggie Jones		TIME COMPLETED:	11:53 AM

ALLEGATION(S):

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Staffing is not sufficient to meet resident's care needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Executive Director Reggie Jones and we discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observation, records review and interviews with facility staff, residents and outside sources.

It was alleged that staffing was not sufficient to meet resident's care needs. It was reported that their were not enough staff on the fourth floor to meet all of the residents’ care needs. It was also reported that during the afternoon and night shifts, their are only two staff members to care for approximately 40 residents. LPA reviewed facility staffing records and resident logs for the month of April 2024 through July 2024. The records indicated that staffing levels consistently met the requirements set forth by regulatory standards and internal policies.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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-20240724163501

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: GROSSMONT GARDENS SENIOR LIVING	FACILITY NUMBER: 374604675
	VISIT DATE: 08/28/2024

NARRATIVE

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Records review further revealed that the resident census on the fourth floor was an average of 30-33 residents. The AM staffing ratio on the fourth floor was regularly at; two caregivers, one med-tech and one LVN. The PM staffing ratio was regularly at two caregivers and one med-tech This staffing ratio was consistent on all facility floors. The staffing schedule also revealed a "floater" staff was available to assist where ever needed, on all shifts. Analysis of staffing schedules showed that the facility maintained adequate staffing ratios to address the needs of residents.

LPA interviewed a fourth floor resident who stated that they have lived at the facility for four years. Resident stated that in general the facility staff are "nice and well trained.' Resident further stated that they immediately receive assistance from staff, whenever it is needed.

Interviews with direct care staff (DSC) and human resources staff (HRS) confirmed that staffing levels were sufficient and that there were no shortages impacting the quality of care. Direct Care Staff 1 (DSC1) stated that even though they provide the care that the residents need, at times the family members of the residents become upset because they want "one on one" care for their loved one. DSC1 further stated that they had support from management in regards to resident care. Direct Care Staff 2 (DSC2) stated that the work environment can be challenging when residents exhibit behaviors and become aggressive, as a result DSC2 believes more staff is needed.

LPA interviewed outside agency (OA) who stated that he has visited the facility and specifically the fourth floor many times. OA stated that from his assessment facility staff "do try really hard." OA stated that although he 'doesn't like the current regulation" he agreed that the allegation should be unsubstantiated.

LPA interviewed Executive Director who stated that he and his staff review the care needs of the residents on a monthly basis. ED stated that they specifically review the resident to staff ratio. ED believes they have sufficient staffing to meet the care needs of the residents.

Based upon the foregoing, the above listed allegation is unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegation is not valid.

An exit interview was conducted with Reggie Jones. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Reggie Jones whose signature below verifies receipt of these right

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Ramon Serrano	TELEPHONE: (619) 458-2583
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC9099 (FAS) - (06/04)

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