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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604046
Report Date: 09/13/2023
Date Signed: 11/19/2024 11:30:02 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2023 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230227084218
FACILITY NAME:HIDDEN GLENN SENIOR LIVING VFACILITY NUMBER:
374604046
ADMINISTRATOR:LOFVENDAHL, BRIGITTA MFACILITY TYPE:
740
ADDRESS:652 TRANQUILITY GLENTELEPHONE:
(760) 743-8843
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:15CENSUS: 14DATE:
09/13/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Bree Lofvendahl, Executive DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is not allowing a resident to leave the facility for higher level of care
INVESTIGATION FINDINGS:
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3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conclude the investigation into the allegation listed above. LPA met with Executive Director (ED) Bree Lofvendahl and explained the purpose of the visit. Regarding the allegation "Staff is not allowing a resident to leave the facility for higher level of care", it was alleged that Resident #1 (R1) was not being permitted to move away from the facility without a Power of Attorney (POA). Interview with ED Lofvendahl revealed she received a phone call from someone purporting to be married to R1 and who also requested ED LofVendahl find placement for R1 in Florida and put R1 on a plane to assist the caller in moving R1 to Florida. ED Lofvendahl explained to the caller that she was not permitted to perform such requests for any resident but that she would provide the necessary documentation to assist the caller with R1's placement at another facility but only after she could verify the R1's relationship with the caller. ED Lofvendahl reported at no time did she refuse to allow R1 to move from the facility nor did anyone arrive to the facility announcing they were moving R1 out until 3/10/23. On that date, no one from the facility prohibited R1 from moving out and R1 did in fact move out. *THIS IS AN AMENDED REPORT. (CONTINUED ON LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023
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 3
Control Number 18-AS-20230227084218
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: HIDDEN GLENN SENIOR LIVING V
FACILITY NUMBER: 374604046
VISIT DATE: 09/13/2023
NARRATIVE
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(CONTINUED FROM LIC9099)
Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list.

*THIS IS AN AMENDED REPORT.

SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2023 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230227084218

FACILITY NAME:HIDDEN GLENN SENIOR LIVING VFACILITY NUMBER:
374604046
ADMINISTRATOR:LOFVENDAHL, BRIGITTA MFACILITY TYPE:
740
ADDRESS:652 TRANQUILITY GLENTELEPHONE:
(760) 743-8843
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY:15CENSUS: 14DATE:
09/13/2023
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Bree Lofvendahl, Executive DirectorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is not allowing resident to receive calls
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conclude the investigation into the allegation listed above. LPA met with Executive Director (ED) Bree Lofvendahl and explained the purpose of the visit.
Regarding the allegation "Staff is not allowing resident to receive calls", it was alleged that facility staff are not always allowing R1 to speak on the phone and when R1 does speak on the phone, they are told by staff that it can only be for ten (10) minutes. Eight (8) of nine (9) residents interviewed were unreliable historians. One (1) of nine (9) residents interviewed reported they had been denied the ability to receive calls but also simultaneously reported they were told their calls could only be ten (10) minutes long. Three (3) of three (3) staff interviewed denied ever denying R1 a phone call or limiting how long R1's calls could be. All three (3) staff also reported if phone calls for R1 were received in early morning hours and if R1 was not awake, the caller would be asked to call back at a later time. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report was provided along with LIC811- Confidential Names list.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3