331880924-12-12-2024-18-AS-JDHS-DC2PJL-20241217102139

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880924
Report Date: 12/12/2024
Date Signed: 12/12/2024 09:23:34 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/02/2024 and conducted by Evaluator Armando Perez

COMPLAINT CONTROL NUMBER: 18-AS-20241202144300

FACILITY NAME:	CITRUS PLACE		FACILITY NUMBER:	331880924
ADMINISTRATOR:	VICKY TORRES		FACILITY TYPE:	740
ADDRESS:	7898 CALIFORNIA AVENUE		TELEPHONE:	(951) 687-2241
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	140	CENSUS: 107	DATE:	12/12/2024
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Connections for Living Director Megan Snell		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

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Staff did not seek timely medical care for resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst, (LPA) Armando Perez, conducted an unannounced visit to the facility and met with Connections for living Director, Megan Snell. The purpose of the visit was to inform of the complaint allegation findings regarding the listed allegation. During this investigation, LPA conducted interviews with Administration, staff, clients, and additional witnesses. LPA also obtained pertinent documentation in order to assist with determining the findings.

On December 2, 2024, Community Care Licensing (CCL) received a complaint alleging that facility staff did not seek timely medical care for resident. It was reported that facility staff failed to transport Client 1 (C1) to the hospital for evaluation after an injury was observed. Additionally, it was stated the injury was acknowledged during the morning shift and the facility did not seek medical attention until the afternoon. Information obtained from interviews with Administrator stated facility staff observed swelling to C1’s left eye and immediately communicated with C1’s Power of Attorney (POA).
...Continued on LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024

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 18-AS-20241202144300

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: CITRUS PLACE	FACILITY NUMBER: 331880924
	VISIT DATE: 12/12/2024

NARRATIVE

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It was advised that C1’s Power of Attorney requested that they are contacted first for non emergency incidents. POA indicated that they will have C1 assessed and determine if further medical evaluation is required. It was determined by POA that the injury to C1 did not require further medical attention. C1’s POA refused emergency medical personnel. At approximately 3 PM, facility staff observed the swelling to increase and medical personnel was contacted at that time. C1 was transported to the hospital to be further evaluated. Information obtained from staff and additional witnesses corroborated the information and indicated that C1’s POA indicated they did not want C1 transported to the hospital. Due to the swelling increasing, medical personnel was contacted. Due to C1’s condition, LPA was unable to obtain additional information pertaining to the incident.

Based on observation, record review, client, and staff interviews, it was determined that staff contacted C1’s POA immediately to advise of the injury and was advised not to contact emergency services, causing a delay. Staff continued to monitor and evaluate C1’s injury to assess if further medical evaluation was necessary. Facility staff did later contact medical personnel services where it was determined C1 needed to be transported. Therefore, the allegation is unsubstantiated, means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted, and a copy of this report was discussed with and provided to the Connections for Living Director Megan Snell.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Armando Perez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024

LIC9099 (FAS) - (06/04)

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