374604690-10-10-2024-08-AS-RCLK-DAL26Z-20241031170756

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604690
Report Date: 10/10/2024
Date Signed: 10/10/2024 02:56:53 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
06/13/2024 and conducted by Evaluator Carmen Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20240613144119

FACILITY NAME:	CARROLL'S RESIDENTIAL CARE		FACILITY NUMBER:	374604690
ADMINISTRATOR:	MEYERS, BRYAN		FACILITY TYPE:	740
ADDRESS:	655 S MOLLISON AVE		TELEPHONE:	(619) 444-3181
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	144	CENSUS: 123	DATE:	10/10/2024
		UNANNOUNCED	TIME BEGAN:	02:34 PM
MET WITH:	Sarita Mendoza, Assistant Administrator		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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- Facility failed to safeguard resident belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigative findings regarding the above-mentioned allegation. LPA identified herself and was granted entry by Assistant Administrator Sarita Mendoza. LPA stated the purpose of the visit and reviewed the findings of the complaint with Assistant Administrator Mendoza.

The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, and LPA observations. On June 13, 2024, it was alleged that the facility staff failed to safeguard the resident’s belongings.

It was specifically alleged that resident #1’s (R1) belongings were being stolen from resident #2 (R2). Interview with resident #1 said that they have missing belongings that resident #2 took from their room. LPA was able to interview residents whose statements conflicted. According to R1, they said R2 stole their cigarettes, lighters, a watch, perfume, scissors, night cream, and money.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024

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-20240613144119

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: CARROLL'S RESIDENTIAL CARE	FACILITY NUMBER: 374604690
	VISIT DATE: 10/10/2024

NARRATIVE

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R1 expressed that R2 still enters the room to take their belongings to sell for monetary gain. Interview with R2 said that they have no need to take things from R1 as they do not use any of the items R1 indicates are stolen. R2 said that they have no need to take R1s cigarettes as they do not smoke. Interview with staff said that they have had issues with a resident who contacts the police as they say that another resident steals their belongings, but there is no evidence of the occurrence. Staff mentioned that they have already removed the residents into separate rooms. A review of records revealed that resident had made a police report, but the outcome was that the resident’s belongings were in their possession and that the allegations made were not credible. On June 19, 2024, LPA requested and was granted approval by R1 to go over their belongings that were identified as missing. During the search, LPA observed that within their drawers they did have cigarette lighters, many empty boxes of cigarette’s, a watch, scissors, day/night cream’s, 6 body sprays and old spice, among other items.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated.

The report was discussed, and an exit interview was conducted with Assistant Administrator Sarita Mendoza. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Assistant Administrator Mendoza at the conclusion of the visit. The signature below confirms the receipt of these documents.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024

LIC9099 (FAS) - (06/04)

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