425850379-3-29-2024-29-AS-KBUY-D3TULL-20240329154054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425850379
Report Date: 03/28/2024
Date Signed: 03/29/2024 07:05:50 AM

Unsubstantiated

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
03/22/2024 and conducted by Evaluator Mark Jeffries

COMPLAINT CONTROL NUMBER: 29-AS-20240322095953

FACILITY NAME:	LIFETOUCH THE ELEGANT LIVING RESIDENTIAL HOME CARE		FACILITY NUMBER:	425850379
ADMINISTRATOR:	AQUINO, AMELITA I		FACILITY TYPE:	740
ADDRESS:	1431 LARK CT		TELEPHONE:	(805) 878-3409
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93454
CAPACITY:	6	CENSUS: 4	DATE:	03/28/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Licensee, Amlita Aquino		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff did not safeguard resident's belongings.

Staff did not treat resident with dignity.

INVESTIGATION FINDINGS:

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At 1:00pm on 03/28/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to issue final findings to the allegations to this complaint investigation. LPA met with Licensee, Amlita Aquino announced who he is and the reason for the visit.

As to the allegation of, “Staff did not safeguard resident’s belongings.” It was alleged that Resident 1 (R1), on approximately 03/22/2024 had all of their belongings and medication missing or stolen. It was discovered through interview, observation, documentation, and admission that R1 had moved to a new RCFE on 03/03/2024. LPA interviewed R1 on 03/22/2024, R1 stated that they did not have any missing or stolen, and medications were locked up in the new facility medication cabinet, with one medication still on order. R1 also stated that a family member (F1) assisted them with their property on 03/03/2024 and had nothing missing. On 03/22/2024, LPA Jeffries observed documentation of R1’s intake inventory written on a plane piece of paper,
CONTINUED on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Mark Jeffries	TELEPHONE: (805)562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

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 29-AS-20240322095953

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: LIFETOUCH THE ELEGANT LIVING RESIDENTIAL HOME CARE	FACILITY NUMBER: 425850379
	VISIT DATE: 03/28/2024

NARRATIVE

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LPA also observed R1’s room with R1’s belongings as indicated on the personal property inventory sheet; LPA also observed R1’s physical medications that were being secured by the facility per regulations. On 03/22/2024, LPA Jeffries reviewed R1’s Physician’s report (LIC602) which did not show any diagnosis of Dementia or Alzheimer’s as indicated in the original complaint. On 03/22/2024, LPA Jeffries interviewed R1’s Family Friend (F2). F2, stated that a F1 helped R1 with the move to this current facility and stated that they were unaware of any belongings or medications missing for R1. On 03/22/2024, LPA Jeffries interviewed Facility Administrator Amlita Aquino, who stated that R1 and F1 went through together of all R1’s personal property for inventory when R1 moved in on 03/03/2024 and nothing has been missing from the time that R1 moved into the facility as indicated on the inventory of R1’s personal property and LPA observations on 03/22/2024. At this time there is not enough evidence to support the allegation of, “Staff did not safeguard resident’s belongings.” and is unsubstantiated at this time.

As to the allegation of, “Staff did not treat resident with dignity.” It was alleged that sometime between 03/03/2024 and 03/20/2024 that a staff member “barked” like a dog at R1. It was discovered through interviews and witness statements that LPA Jeffries on 03/22/2024 interviewed R1, where R1 stated, “no one has ever barked at me like a dog. All the staff hear a nice, and no staff has treated me disrespectfully. They (Staff) are very respectful …” R1 stated that they feel safe and respected in the new facility. On 03/22/2024 LPA Jeffries interviewed F2. F2 stated that they believed the staff is good and has not seen or heard of a staff being disrespectful to R1 or any of the residents at this facility. On 03/22/2023 LPA Jeffries interviewed facility manager Amlita Aquino, who stated that they did not know that any of their staff spoke disrespectfully to any resident including R1, and they would not keep a staff who was disrespectful to residents. Mrs. Aquino also stated some of the staff are new and still in training, but none have been disrespectful to anyone. Based on interviews, witness statements and R1’s admission, there is no evidence to support the allegation of, “Staff did not treat resident with dignity.” and is unsubstantiated at this time.

Exit interview, report read, and report delivered.

SUPERVISOR'S NAME: Kelly Burley	TELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Mark Jeffries	TELEPHONE: (805)562-0400
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

LIC9099 (FAS) - (06/04)

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