306004757-8-30-2023-22-AS-SSAS-CVPVNE-20230915163500

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004757
Report Date: 08/30/2023
Date Signed: 08/30/2023 11:29:11 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/13/2023 and conducted by Evaluator Jessica Cho

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230613133043

FACILITY NAME:	DIAMOND SENIOR CARE		FACILITY NUMBER:	306004757
ADMINISTRATOR:	ADELA ALBU		FACILITY TYPE:	740
ADDRESS:	13581 DIAMOND HEAD DRIVE		TELEPHONE:	(714) 508-3100
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	6	CENSUS: 6	DATE:	08/30/2023
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Ghergina Lupu- Caregiver		TIME COMPLETED:	11:50 PM

ALLEGATION(S):

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Staff used hot water to clean resident.
Staff spoke inappropriately to resident.
Staff refused to assist resident with incontinence needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jessica Cho arrived unannounced to conclude the investigation and deliver the findings. LPA was allowed entry and explained the nature of the visit to Caregiver Ghergina Lupu. Administrator (Admin) Adela Albu was informed of the allegations by telephone and consented Caregiver Lupu to sign the report on her behalf.

On June 20, 2023, LPA initiated the complaint investigation which consisted of interviews with residents and staff and obtaining copies of pertinent resident records. Additional staff interviews were conducted on today’s date, and the following was revealed during the course of the investigation:

It is alleged that the staff used hot water to clean the resident. One out of the five residents interviewed indicated that the water temperature was too hot during a bath provided by Staff #1 (S1), while two out of the five residents expressed that the water temperature was comfortable. The remaining two residents could not be interviewed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

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 22-AS-20230613133043

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: DIAMOND SENIOR CARE	FACILITY NUMBER: 306004757
	VISIT DATE: 08/30/2023

NARRATIVE

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Additionally, four out of the four staff interviewed denied the allegation indicating that the temperature of the water was tested using the inside of the wrist and by verbally asking if the temperature was comfortable. It was determined based on the interviews that there was insufficient evidence to prove that the hot water was allegedly being used to clean the resident.

It is alleged that the staff spoke inappropriately to resident. One out of the three individuals interviewed witnessed an incident that occurred on June 12, 2023. The individual observed Staff #2 (S2) had an accent from their native language which made it sound that S2 appeared “aggressive and forceful.” Four out of the four staff refuted the allegation indicating that S1 and S2 speaking nicely to all residents. Two out of the five residents stated that S2 has spoken kindly and denied any knowledge or observation of staff speaking to resident inappropriately. The remaining two residents could not be interviewed.

It is alleged that staff refused to assist resident with incontinence needs. One out of the five residents indicated that they were not changed on one occasion but was unable to recall the details and time of the incident. Two out of the five residents stated that they were satisfied with the care that was being provided, and the last two remaining residents could not be interviewed. Four out of the four staff interviewed denied the allegation stating that the resident was changed multiple times a day and on occasions denied getting their diapers changed.

Due to the conflicting details, LPA is unable to corroborate the allegations. Based on the interviews which were conducted and the records that were reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations: Staff used hot water to clean the resident, Staff spoke inappropriately to resident, and Staff refused to assist resident with incontinence needs are deemed UNSUBSTANTIATED.

An exit interview was conducted with Administrator Adela Albu via a telephone call at 11:17am. Caregiver Ghergina Lupu was also present at this time. A copy of this report along with the LIC9099-C and LIC811 were emailed to Administrator Adela Albu at the end of the visit.

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Jessica Cho
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

LIC9099 (FAS) - (06/04)

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