565800174-7-13-2023-29-AS-DPEA-CU3PJ2-20230725112045

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565800174
Report Date: 07/13/2023
Date Signed: 07/13/2023 12:11:53 PM

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
11/23/2022 and conducted by Evaluator Kasandra Lopez

COMPLAINT CONTROL NUMBER: 29-AS-20221123132634

FACILITY NAME:	RMC RESIDENTIAL CARE HOME II		FACILITY NUMBER:	565800174
ADMINISTRATOR:	RICHARD CARINO		FACILITY TYPE:	735
ADDRESS:	1925 BEAUFORT AVE.		TELEPHONE:	(805) 483-4628
CITY:	OXNARD	STATE: CA	ZIP CODE:	93033
CAPACITY:	6	CENSUS: 5	DATE:	07/13/2023
		UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Josephine Carino		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Staff assaulted client resulting in injury.
Client not accorded dignity in relationships with staff.
Client is leaving the facility without supervision
Client is not being provided a sufficient amount of food

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) KaSandra Lopez conducted a subsequent complaint visit to deliver findings for the above allegations. LPA met with staff initially and explained the reason for the visit. Administrator Joy Carino arrived at the facility at 11:15 AM and Co-Administrator Martin Carino arrived shortly after.

On 11/23/2022, Community Care Licensing Division (CCLD) received a complaint regarding an allegation of physical abuse among other complaint allegations. The physical abuse allegation alleged that Staff #1 (S1) assaulted Client #1 (C1) by hitting C1 with a chair causing injury to C1’s arm.

On 11/29/2022 between 9:08 a.m. and 11:20 a.m., LPA Lopez conducted an unannounced initial 10-day complaint inspection at the facility. During the inspection, the LPA conducted a physical plant tour, observed the food supply, and conducted interviews with two staff, and two clients.

Report continued on LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Kasandra Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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-20221123132634

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: RMC RESIDENTIAL CARE HOME II	FACILITY NUMBER: 565800174
	VISIT DATE: 07/13/2023

NARRATIVE

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During today's inspection, the LPA conducted interviews with two additional staff members between 10:59 a.m. and 11:04 a.m. The LPA also discussed the allegations with Joy and Martin Carino.

During the interview with C1, they stated that S1 picked up a chair and hit C1 on their elbow causing injury to their elbow. C1 said they did not know why S1 did this to C1. C1 stated they called law enforcement to report the incident but when law enforcement arrived, they did not want to talk with them. The LPA observed C1’s elbow during the visit and observed discoloration but it was unclear if there was any bruising.

During the interview with S1, they stated on the day of the alleged incident, C1 was upset and yelling and was coming closer to S1. S1 stated they were seated at the table and got up to distance themselves from C1 who was escalating. S1 stated when they got up from their chair, they pushed the chair back and C1 stated they were hit on the arm with the chair. S1 stated they were not sure if contact was made with C1’s arm but, stated they did not intentionally try to hit C1 with the chair. S1 stated they were not present when law enforcement arrived at the facility.

Interviews revealed Staff #2 (S2) was present during the incident. During the interview with S2, they stated on the day of the incident, C1 was upset and yelling. S2 said S2 was feeding another client at the time and was shielding the client due to C1’s behavior. S2 said C1 was standing behind S1’s chair, and S1 got out of S1 seat to get out of the way, and the chair may have touched C1’s elbow. The interview with C2 revealed staff treat them nice and are respectful to C2.

It has been determined there is insufficient evidence to support the allegation of staff assaulted client resulting in injury. Therefore, the allegation is deemed unsubstantiated at this time.

Allegation: Client not accorded dignity in relationships with staff

The allegation alleges staff were taunting a client when they were outside screaming and making monkey noises to the client. During the interviews with staff, staff denied ever taunting the clients or treating them disrespectfully. Interviews with clients in the home revealed they are treated respectfully by staff. Based on the information obtained, there is insufficient evidence to support the allegation of client not accorded dignity in relationships with staff occurred. Therefore, the allegation is deemed unsubstantiated at this time.

Report continued on LIC 9099-C.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Kasandra Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20221123132634

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: RMC RESIDENTIAL CARE HOME II	FACILITY NUMBER: 565800174
	VISIT DATE: 07/13/2023

NARRATIVE

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Allegations: Client is leaving the facility without supervision and Client is not being provided a sufficient amount of food

The allegation alleges C1 wanders the neighborhood asking for food. During the interview with C1, C1 stated when they are outside with staff, they sometimes talk to the neighbor but denied ever asking anyone for food. C1 stated when they go for walks in the neighborhood staff will accompany them. Staff interviewed stated sometimes C1 will hang out in the front yard but C1 is always within view of the staff. Staff stated they also accompany C1 when going for walks. During today's inspection and during the previous inspection, the LPA observed a sufficient amount of food in the facility. Clients interviewed also stated they receive enough food to eat. Based on the information obtained, there is insufficient evidence to support the allegations of client is leaving the facility without supervision and client is not being provided a sufficient amount of food occurred. Therefore, the allegations are deemed unsubstantiated at this time.

Exit interview and report reviewed with the Administrator. A copy of the report and appeal rights were provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Kasandra Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

LIC9099 (FAS) - (06/04)

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