374604675-9-28-2023-08-AS-SJAB-CW5MH9-20230929093710

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604675
Report Date: 09/25/2023
Date Signed: 09/28/2023 11:07:10 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
08/31/2023 and conducted by Evaluator Iby Strong

COMPLAINT CONTROL NUMBER: 08-AS-20230831161818

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: 275	DATE:	09/25/2023
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Executive Director Reggie Jones		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Licensee did not protect resident from financial abuse
Licensee attempted to financially abuse resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to continue an investigation on the above complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Reggie Jones.

On August 31, 2023, Community Care Licensing (CCL) received a complaint alleging licensee did not protect Resident 1 (R1) from financial abuse and licensee attempted to financially abuse R1.

During the investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews. Based on R1’s Physician’s Report dated June 27, 2023, R1 does not have a mental impairment, is able to follow instructions, is able to communicate need, can administer own medication and is able to leave facility unassisted.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2023

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-20230831161818

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: 09/25/2023

NARRATIVE

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According to allegations, on August 31, 2023, R1’s financial institution was contacted about making payments to an unknown account by a source unassociated to R1’s account. Interview with R1 revealed that on the date in question Executive Director was assisting R1 on a phone call to financial institution to make R1’s regular monthly payment to facility. Interview also revealed that R1 requested this assistance and was fully aware of actions being taken. Interview with Executive Director revealed that R1 had not made their monthly payment and Executive Director was assisting R1 with completing payment. Interview with outside source revealed that facility staff did not attempt to financially abuse resident as payment was in fact due. An additional outside source interview corroborated that R1 had not communicated any financial issues against facility staff.

It was also alleged that R1 was financially abused by another external source and the licensee did not protect R1in that event. According to interview with R1, R1 knowingly paid an outside source for assistance in moving out of home and into facility. Interview also revealed that no money was missing from R1’s account. Interview with outside source corroborated that the payment made to external source was intended to cover R1’s prior expenses. Interview with Executive Director revealed that there was no known financial abuse reported to them by R1.

Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Executive Director Reggie Jones, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) -76-2306
LICENSING EVALUATOR NAME: Iby Strong	TELEPHONE: 619-481-0846
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2023

LIC9099 (FAS) - (06/04)

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