374604751-10-17-2024-08-AS-SJAB-DF7PYW-20250328114437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604751
Report Date: 10/17/2024
Date Signed: 10/17/2024 03:52:49 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
10/10/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20241010113717

FACILITY NAME:	NANCY VASQUEZ RESIDENTIAL CARE CENTER		FACILITY NUMBER:	374604751
ADMINISTRATOR:	CURTIS, PHILIP C.		FACILITY TYPE:	735
ADDRESS:	8627 TROY STREET		TELEPHONE:	(619) 754-5250
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	40	CENSUS: 35	DATE:	10/17/2024
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Nick Fierro, Administrator		TIME COMPLETED:	02:13 PM

ALLEGATION(S):

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Staff are not following proper food safety protocols.
Facility kitchen is dirty.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced investigation visit to open a complaint investigation regarding the above mentioned allegations. LPA was greeted by, identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Nick Fierro, Administrator.

During the visit, LPA toured the facility, reviewed and obtained copies of facility records. LPA conducted interviews with staff and clients. It was alleged that the staff are not following proper food safety protocols. LPA observed the kitchen and the food/ drinks and they were all properly stored. The cook had on a shirt and shoes. The cook denied the allegtion of not wearing a shirt and shoes while cooking. Interviews revealed there was a staff that worked at the facility over two years ago that was terminated and the Adminsitrator had to speak to them on a couple of occasions for not wearing their shoes. Interviews revealed there have been no issues with this cook for not wearing proper attire while cooking. Interviews revealed cooked food had not been delivered to this address in over two years. The cook has been preparing breakfast, lunch and dinner for the clients for the last two years. Interviews revealed the clients do not go into the kitchen and would not have seen if the cook was not wearing a shirt or
any shoes while cooking. Interviews with clients did not reveal the cook has been seen cooking without a shirt or shoes on.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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-20241010113717

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: NANCY VASQUEZ RESIDENTIAL CARE CENTER	FACILITY NUMBER: 374604751
	VISIT DATE: 10/17/2024

NARRATIVE

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It was alleged that the facility kitchen is dirty. LPA observed the kitchen and did not observe any dirt on counter tops, stove or appliances. There was food cooking at the time of the visit that was covered correctly and were not dirty. There were a few marks on the wall from splatter that the administrator agreed to clean but it was not dirty. Interviews revealed the kitchen is cleaned daily and swept and mopped daily. Interviews revealed that the refrigerators and freezers are cleaned out at least weekly.

Based on records and interviews, the allegations of staff are not following proper food safety protocols and facility kitchen is dirty are Unsubstantiated.

An exit interview was conducted with Nick Fierro Administrator. A copy of this report and the Licensee's Rights (LIC9058 01/16) were provided to Administrator at the end of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

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