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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366413080
Report Date: 09/21/2023
Date Signed: 09/21/2023 10:33:34 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,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2020 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20200310105143
FACILITY NAME:TUPARAN RESIDENTIAL CARE FACILITY INCFACILITY NUMBER:
366413080
ADMINISTRATOR:TUPARAN, LORETAFACILITY TYPE:
740
ADDRESS:1929 CHURCH STREETTELEPHONE:
(909) 307-1273
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:6CENSUS: 0DATE:
09/21/2023
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Loreta Tuparan, LicenseeTIME COMPLETED:
09:20 AM
ALLEGATION(S):
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Resident left in soiled diapers
Staff did not take care of resident's hygiene needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tricia Danielson met with Licensee Loreta Tuparan via telephone to conclude an investigation into the allegation listed above. The facility does not currently have residents and there are mitigating circumstances that deem Ms. Tuparan to be unable to meet with LPA at the facility.
Regarding the allegation "Resident left in soiled diapers", it was alleged that Resident #1 (R1) was found to be in a soiled diaper during a visit. Interview with a visitor of R1 revealed R1 was taken on an outing on 3/10/20, R1 was observed to wearing an incontinent garment which was caked in dried feces. The garment was removed, R1 was cleaned and a new garment was provided by the visitor. Interview with Licensee/Administrator Loreta Tuparan indicated R1 left the facility with a clean incontinent garment as well as an additional garment and a change of clothes for any accidents which may have occurred during the outing. Additionally, Tuparan reported she did not receive any notification of R1's condition following their return from the outing. R1 passed away and was unable to be interviewed.
(CONTINUED ON LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20200310105143
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: TUPARAN RESIDENTIAL CARE FACILITY INC
FACILITY NUMBER: 366413080
VISIT DATE: 09/21/2023
NARRATIVE
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(CONTINUED FROM LIC9099)
Regarding the allegation "Staff did not take care of resident's hygiene needs", it was alleged that during the same outing on 3/10/20, R1 was unkempt and malodorous. Interview with a visitor of R1 revealed they observed R1's heel to be caked in dried feces and in need of more assistance in completing their ADLs. Interview with Licensee/Administrator Loreta Tuparan indicated R1 had performed their own ADLs prior to leaving for their appointment on 3/10/20 and was not aware of R1 lacking proper hygiene. Additionally, Tuparan reported she did not receive any notification of R1's condition following their return from the outing. R1 passed away and was unable to be interviewed.
Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2