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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600980
Report Date: 10/02/2024
Date Signed: 10/02/2024 12:24:16 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
09/13/2024 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20240913084352
FACILITY NAME:CASA DE CASTRO IIFACILITY NUMBER:
374600980
ADMINISTRATOR:CHERYL CASTROFACILITY TYPE:
740
ADDRESS:7766 PRAIRIE MOUND WAYTELEPHONE:
(619) 475-7525
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:6CENSUS: 6DATE:
10/02/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Caregiver, Melanie SupnetTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Licensee did not give resident medication as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA was greeted by Caregiver, Melanie Supnet to whom she explained the reason for the visit and delivered findings.

The Department investigated the above-listed complaint allegations. The investigation consisted of observations, a review of relevant records, and interviews with facility staff and outside sources.

On September 13, 2024, Community Care Licensing (CCL) received a complaint alleging that the licensee did not give resident (R1) medication as prescribed [a LIC811 Confidential Name List was provided to staff to identify R1]. It was specifically alleged that a “nurse” (Note: the facility did not employ nursing staff and the identity of the individual was not disclosed during the investigation) who worked at the facility administered the Seroquel medication four (4) times a day instead of the prescribed dose of 2x per day during August 2024. (Continue at LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
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 08-AS-20240913084352
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: 10/02/2024
NARRATIVE
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Continue from LIC 9099


The exact days, times or any other details of when this occurred were not provided. A detailed review of R1's relevant records indicated that R1 lived at the facility from April 30, 2024, to July 31, 2024. In addition, during a visit conducted on September 18, 2024, a detailed review of medications on hand for the residents in care did not disclose any violations of Title 22 regulations. During interviews, staff consistently indicated that all medications including the medication in question were administered to R1 as prescribed. In addition, R1 moved out on July 31, 2024, and the alleged violation occurred after R1 moved out. Despite numerous attempts, R1 and R1’s responsible party were not available for an interview.

The Department has investigated the above-mentioned allegation and based on interviews conducted and records reviewed we were unable to confirm or deny if medications were given as prescribed. The information obtained during the investigation did not present a preponderance of evidence to support or corroborate the allegation. Therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) was provided to Caregiver, Melanie Supnet at the conclusion of the visit.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2