421700160-12-20-2021-29-AS-KBUY-C9WUHH-20211221143559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 421700160
Report Date: 12/20/2021
Date Signed: 12/20/2021 02:53:21 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/17/2020 and conducted by Evaluator Kristin Kontilis

COMPLAINT CONTROL NUMBER: 29-AS-20200117170115

FACILITY NAME:	CASA DORINDA		FACILITY NUMBER:	421700160
ADMINISTRATOR:	BRIAN MCCAGUE		FACILITY TYPE:	741
ADDRESS:	300 HOT SPRINGS RD.		TELEPHONE:	(805) 969-8011
CITY:	SANTA BARBARA	STATE: CA	ZIP CODE:	93108
CAPACITY:	325	CENSUS: 327	DATE:	12/20/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Jackie Castaneda, Director of Personal Care		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff failed to ensure resident was supervised while taking a shower.
Staff did not wash resident's/residents' hair.
Staff is not providing laundry service to resident(s).
Staff speaks inappropriately to resident(s).
Staff took a personal item(s) belonging to a resident.

INVESTIGATION FINDINGS:

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On 12/20/2021, Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced subsequent complaint visit to issue final findings for this complaint. LPA met with Jackie Castaneda, Director of Personal Care and Therese Brown, Senior Director of Health Services and announced the purpose of the visit. During the investigation, LPA interviewed seven residents and five staff on January 24, 2020 between 9:45 am and 3:20 pm.
On the allegation: Staff failed to ensure resident was supervised while taking a shower and Resident's/Residents' hair was not washed: Residents interviewed stated staff assist them as needed with showers and did not have any issues with showers or other needs being met. Staff interviewed stated they assist residents with showers if they need assistance, including assistance with hair washing. Staff stated some residents only get their hair washed at the beauty salon, based on their preference. Staff interviewed stated residents have the right to refuse hair washing. Staff stated their protocol is not to leave residents alone while in the shower, even if another resident requests assistance. One staff gives one shower at a time to ensure coverage. Staff
Please continue to 9099-C, Page 2.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin Kontilis	TELEPHONE: (805) 689-2787
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021

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 29-AS-20200117170115

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: CASA DORINDA	FACILITY NUMBER: 421700160
	VISIT DATE: 12/20/2021

NARRATIVE

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interviewed stated they have not received complaints about assistance with showers. Based on the information obtained, the allegation is Unsubstantiated at this time.

On the allegation: Resident's/Residents' laundry is not being done. Residents interviewed stated their needs were met and had no issues with laundry. Staff interviewed stated they are assigned specific residents to provide laundry assistance. Staff interviewed stated they did not have any complaints from residents about laundry not being done. Based on the information obtained, the allegation is Unsubstantiated at this time.

On the allegation: Staff speaks inappropriately to residents. Residents interviewed stated staff speak kindly, respectfully, and have witnessed staff speaking to others with respect. Residents interviewed believed staff met their needs and have not spoken harshly to them. Staff interviewed stated they have not witnessed other staff speak harshly to residents and would report it to a manager if they observed a staff member speaking harshly. Staff interviewed stated they address residents by “Mr.” or “Mrs.” and their last name as a sign of respect. Based on the information obtained, the allegation is Unsubstantiated at this time.

On the allegation: Staff stole resident's property. Some residents interviewed stated they have not lost anything while others stated they have misplaced certain items, including scarves and bands. Staff interviewed stated one resident lost their phone as it was left on a bus. Other staff interviewed stated they help residents search for missing property and report anything of value to the police. Based on the information obtained, the allegation is Unsubstantiated at this time.

Exit interview conducted. Report issued via email.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Kristin Kontilis	TELEPHONE: (805) 689-2787
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2021

LIC9099 (FAS) - (06/04)

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