374604734-8-1-2024-08-AS-SJAB-D7RM4G-20240802091644

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604734
Report Date: 08/01/2024
Date Signed: 08/01/2024 04:25:32 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
08/01/2024 and conducted by Evaluator Daniel Pena

COMPLAINT CONTROL NUMBER: 08-AS-20240801100023

FACILITY NAME:	CHANGING OPTIONS		FACILITY NUMBER:	374604734
ADMINISTRATOR:	MELCHER, JENNIFER		FACILITY TYPE:	735
ADDRESS:	500 3RD STREET		TELEPHONE:	(714) 224-0826
CITY:	RAMONA	STATE:	ZIP CODE:	92065
CAPACITY:	14	CENSUS: 14	DATE:	08/01/2024
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Serita Polinaire, Clinical Director		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Facility not serving nutritious meals

INVESTIGATION FINDINGS:

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On August 1, 2024, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced visit to the facility to deliver complaint investigation findings for the above allegation. After introducing and identifying himself, LPA met with Serita Polinaire.

The complaint included an allegation the facility was not serving nutritious meals. It was alleged that from around January 2024 until April of 2024, food served to clients consisted of the same foods and meals and were not nutritious. Food served were stuffed bell peppers, stuffed cabbage, canned items, hot dogs, chili, french fries and fresh fruit.

Staff interviews did not corroborate there were complaints about the food. Staff interviews revealed pre-cooked meals from outside vendor was used temporarily when the cook was out on leave. According to a staff, the cook was out for about 1.5 months and ready-made meals were served along with grilled meals. One client indicated that while the cook was out, clients ate a lot of sandwiches and cabbage rolls but they did not mind because it was temporary. Definition of “a lot” was not included. Other client

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

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-20240801100023

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CHANGING OPTIONS	FACILITY NUMBER: 374604734
	VISIT DATE: 08/01/2024

NARRATIVE

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interviews did not reveal any concerns with the food served.

A review of grocery purchase receipts from grocery store dated March 7, March 14, March 21 and March 28, 2024 were reviewed and revealed the following foods purchased: bread, sausage, stuffed bell peppers, stuffed cabbage roll, mac & cheese, pizza, chicken cordon blue stuffed, mac & cheese, chicken Mandarin orange, pork pulled, pasta, meatball, Salisbury steak, pizza, stuffed, taquitos, chili, beef no bean chili dog, and franks.

A review of facility menus during time period identified various food to be served. A sampling of the menu reviewed for March 18, 2024 through March 24, 2024 revealed the following samplings of meals served: scrambled cheese egg with bacon, hash browns and toast, Greek Yogurt, fruit, milk, coffee, juice; stuffed bell peppers with a roll, salad, fruit, juice, tea or milk; and taquitos, rice, beans, chips, fruit, juice or tea.

Although the food may have had more variety when the normal cook was at the facility, it did appear that there was a menu of food options and that clients were fed meals and snacks each day. There was no evidence the food was inadequate. The staff and clients interviewed did not disclose any concerns with the food.

Based on evidence obtained, the preponderance of evidence standard was not met, therefore the allegation is determined to be unsubstantiated.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Daniel Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

LIC9099 (FAS) - (06/04)

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