374600980-4-19-2024-08-AS-JLOT-D4TP8B-20240430110515

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600980
Report Date: 04/19/2024
Date Signed: 04/19/2024 03:52:51 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/03/2020 and conducted by Evaluator Rebecca A Ruiz

COMPLAINT CONTROL NUMBER: 08-AS-20201203113659

FACILITY NAME:	CASA DE CASTRO II		FACILITY NUMBER:	374600980
ADMINISTRATOR:	CHERYL CASTRO		FACILITY TYPE:	740
ADDRESS:	7766 PRAIRIE MOUND WAY		TELEPHONE:	(619) 857-6945
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92139
CAPACITY:	6	CENSUS: 6	DATE:	04/19/2024
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Caregiver Emelita Supnet		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Resident's toileting needs are not being met

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to conduct follow up and deliver findings regarding the above mentioned allegation. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Emelita Supnet. Administrator Celeste Castro and Licensee Cheryl Castro arrived during the visit.

During today’s visit, LPA briefly toured the facility, observed residents in care, reviewed and obtained copies of facility records, and interviewed staff. LPA was away from the facility for approximately one hour between 12:15pm and 1:15pm.

The Department’s investigation consisted of interviews with staff and outside sources, records review, and a virtual and physical tour of the facility. It was alleged that in 2020, residents’ toileting needs were not being met.
Continued on LIC9099-C page...

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

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 08-AS-20201203113659

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CASA DE CASTRO II	FACILITY NUMBER: 374600980
	VISIT DATE: 04/19/2024

NARRATIVE

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Review of medical and assessment records dated 2020 for Resident 1 (R1) revealed that R1 had a diagnosis of mild cognitive impairment, was not confused or disoriented, was able to communicate needs, required staff assistance for transferring, showering, and toileting care and did not have a bowel or bladder impairment. Interviews with staff and outside sources revealed that R1 required the use of a walker and wheelchair and used incontinence briefs. Interviews with multiple staff revealed that staff would check on residents who used incontinence briefs and change the residents' incontinence briefs multiple times a day. Staff stated that staff would occasionally check on residents overnight if the staff member woke up during the night but would not awaken residents for brief changes if the residents were sleeping. Staff stated that staff would be able to hear if residents called for assistance overnight and that some residents would occasionally call for assistance during the night. Outside sources voiced concerns during interviews that R1 would be left seated on the toilet for long periods of time but did not provide the Department with any description of the length of time. Additionally, an outside source provided information during an interview that R1 required additional time to finish using the toilet. Interviews with staff and outside sources provided conflicting information regarding R1’s ability and tendency to notify staff when R1 needed staff assistance to use the restroom, get up from the toilet, or needed R1’s incontinence briefs to be changed. Staff could not recall any complaints from residents, including R1, regarding not receiving incontinence care, not receiving incontinence care overnight, or being left in soiled briefs or clothing.

The Department was unable to interview R1 due to R1 passing away prior to being interviewed.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Licensee Cheryl Castro, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Rebecca A Ruiz
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

LIC9099 (FAS) - (06/04)

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