374602775-9-26-2022-08-AS-JRAE-CJRV2R-20220930160331

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602775
Report Date: 09/26/2022
Date Signed: 09/26/2022 10:56:18 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
12/15/2021 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20211215083905

FACILITY NAME:	EL NORTE HOME CARE CO.		FACILITY NUMBER:	374602775
ADMINISTRATOR:	RAMIREZ, JOSE RICARDO		FACILITY TYPE:	740
ADDRESS:	1897 E. EL NORTE PKWY		TELEPHONE:	(858) 610-4098
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	7	CENSUS: 6	DATE:	09/26/2022
		UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Randy Lingad		TIME COMPLETED:	11:04 AM

ALLEGATION(S):

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Staff with illness symptoms were allowed to provide care and supervision to residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Caregiver Randy Lingad and we discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of interviews with staff and clients and LPA observation.

It was reported to Community Care Licensing on December 15, 2021 that staff with illness symptoms were allowed to work at the facility. LPA (facility visit) observations on December 22, 2021 included; proper covid-19 screening by staff and several covid-19 signs posted throughout the facility. LPA did not encounter any staff with illness symptoms. Interviews with several clients revealed; no knowledge of a staff member working at the facility while sick and never (personally) witnessing any staff member work with illness symptoms, including; coughing, sneezing, fever.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

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-20211215083905

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: EL NORTE HOME CARE CO.	FACILITY NUMBER: 374602775
	VISIT DATE: 09/26/2022

NARRATIVE

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LPA obtained the staff schedule for December 2021. LPA interviewed all staff that were identified as working in December 2021.

Interview with Caregiver 1 revealed all staff were aware that they should stay home if they had illness symptoms. Staff member further stated that they were not aware of any staff member that worked while they were sick during the month of December 2021. This same staff member went on to say that they personally had a stomachache during that time period (December 2021) and worked at the facility, but the stomachache went away after a day and they did not test positive for covid-19. Interview with Caregiver 2 revealed knowledge of Caregiver 1 coming down with an illness, but no knowledge of what type of illness. Caregiver 2 denied working for or “covering caregiver 1’s shift, the day Caregiver 1 became ill.

Interview with Administrator revealed all staff were familiar with covid-19 guidelines and staff were not allowed to work/or go to work if they were sick. Interview with back-up Administrator revealed Caregiver 1 advised them of stomach pains during the month of December 2021. This was followed by Caregiver 1 being relieved of their work duties by another staff member. Administrator could not recall the exact date or the staff member that relieved Caregiver 1. It should be noted that additional information obtained from the Complainant, recanted the allegation.

Based on LPA observations and interviews, we have found that the preponderance of the evidence standard has not been met, therefore, the allegation is found to be unsubstantiated.

An exit interview was conducted with Randy Lingad and a copy of this report and Licensee/Appeal Rights (LIC 9058) were provided to Randy Lingad whose signature below confirms receipt of documents.

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

LIC9099 (FAS) - (06/04)

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