374602869-9-26-2023-08-AS-DPOL-CW5THA-20230929144424

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602869
Report Date: 09/26/2023
Date Signed: 09/26/2023 10:11:45 AM

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
01/04/2023 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20230104140228

FACILITY NAME:	CEDARS @ PARADISE VILLAGE		FACILITY NUMBER:	374602869
ADMINISTRATOR:	LONG, NICOLE		FACILITY TYPE:	740
ADDRESS:	2740 E 4TH STREET		TELEPHONE:	(619) 475-5040
CITY:	NATIONAL CITY	STATE: CA	ZIP CODE:	91950
CAPACITY:	150	CENSUS: 93	DATE:	09/26/2023
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Katrina Jimenez, Resident Services Director		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Facility does not have sufficient staff to meet the needs of the residents.
Unqualified staff are providing care to residents.
Due to lack of sufficient staff, residents are made to wait an excessive amount of time for assistance,
Staff does not maintain facility clean and sanitary.
Facility staff does not maintain residents' rooms free of odors.
Facility staff are not meeting residents' laundering needs.
Facility staff are not providing residents food and water at night.
Facility staff are not accurately maintaining residents' records.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall conducted an unannounced visit to deliver findings. LPA was allowed entry by Katrina Jimenez, Resident Services Director. LPA identified herself and disclosed the purpose of the visit and elements of the findings with the Resident Services Director.

The Department investigated the above complaint allegations. The investigation consisted of a tour of the facility, interview with staff, residents, and records review.

On January 4, 2023 a complaint was received alleging several accounts of negligence and inadequate staffing at Cedars @ Paradise Village. The complainant stated that the facility does not have sufficient staff to meet the needs of the residents, resulting in unqualified staff providing care. Additionally, residents are made to wait an excessive amount of time for assistance due to the lack of sufficient staff.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

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-20230104140228

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: CEDARS @ PARADISE VILLAGE	FACILITY NUMBER: 374602869
	VISIT DATE: 09/26/2023

NARRATIVE

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The complainant further noted that the facility is not maintained clean and sanitary, with several reports of foul odors in the residents' rooms. Furthermore, it was reported that the facility staff is not meeting the residents' laundering needs and is not providing them with food and water at night.

During the investigation, it was observed that the facility sufficient number of staff members available, which did not affect their ability to provide adequate care to the residents used the registry for additional staffing needs. The staff-to-resident ratio is 22:1 depending on census.

Interviews conducted with staff members revealed that there were not any instances where unqualified individuals were assigned to provide care to residents. An onsite inspection of the facility did not confirmed the complaints about the lack of cleanliness. Several areas, including residents' rooms, bathrooms, and common areas, were found to be adequately maintained, with no visible dirt, dust, and odors present.

Residents laundering needs are done once a week, with beds made daily. Moreover, residents have refrigerators in their rooms and snacks are provided on the second floor of the facility as well as in the kitchen after hours. Resident can also leave the facility and bring food in.

Residents' records did not indicate any discrepancies or inaccuracies in documentation, suggesting a lack of attention and diligence on the part of facility staff. Furthermore, training's for staff are done online and on a monthly basis.

Response time on average is between 15-20 minutes for staff to respond to pendent calls. There were no reported instances where facility staff removed and hid resident's emergency call pendants, limiting their ability to seek help when needed.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20230104140228

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: CEDARS @ PARADISE VILLAGE	FACILITY NUMBER: 374602869
	VISIT DATE: 09/26/2023

NARRATIVE

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There was insufficient evidence found to support the allegations that Facility does not have sufficient staff to meet the needs of the residents; Unqualified staff are providing care to residents; Due to lack of sufficient staff, residents are made to wait an excessive amount of time for assistance; Staff does not maintain facility clean and sanitary; Facility staff does not maintain residents' rooms free of odors; Facility staff are not meeting residents' laundering needs; Facility staff are not providing residents food and water at night; Facility staff are not accurately maintaining residents' records; Facility staff are not adequately trained; Facility staff removes and hides residents' pendants; Facility staff does not ensure that residents are adequately fed; Facility staff did not serve appropriate food for resident resulting in resident choking; Due to a lack of evidence, the allegations are deemed to be Unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Katrina Jimenez, Resident Services Director. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Resident Services Director and her signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023

LIC9099 (FAS) - (06/04)

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