374604388-12-16-2024-08-AS-SJAB-DC4QSR-20241219112557

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604388
Report Date: 12/04/2024
Date Signed: 12/16/2024 12:56:51 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
10/11/2024 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20241011154015

FACILITY NAME:	SUNSET CLIFFS ELDER CARE		FACILITY NUMBER:	374604388
ADMINISTRATOR:	TRAVONNA WASHINGTON		FACILITY TYPE:	740
ADDRESS:	1039 SANTA BARBARA STREET		TELEPHONE:	(619) 791-5495
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92107
CAPACITY:	6	CENSUS: 6	DATE:	12/04/2024
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Guarav “Gary” Rathi Co-Administrator		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Staff do not ensure that residents are accorded privacy while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to initiate an investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Guarav “Gary” Rathi Co-Administrator.

On October 11, 2024 Community Care Licensing (CCL) received a complaint alleging Staff do not ensure that residents are accorded privacy while in care.. During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with residents and staff.

(Continued on LIC9099)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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-20241011154015

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: SUNSET CLIFFS ELDER CARE	FACILITY NUMBER: 374604388
	VISIT DATE: 12/04/2024

NARRATIVE

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Continued from LIC9099

According to allegation, the staff are videotaping residents while the resident is in the bathroom. According to staff interviews, the staff do not videotape the resident while the resident is in the bathroom. The staff state that there are no camera's in the private areas of the facility which are the bathrooms and the resident's bedrooms. The staff at the end of each shift will take a photograph of the areas that have been cleaned for the next shift. The area's would include the kitchen, the laundry room, the bathrooms, the living room and the common areas.

Interview with residents' revealed that all the staff allow the residents to have privacy while in the bathroom and in the resident's room. The residents have not observed the staff videotaping or taking pictures of the residents at any time. The residents have stated that they do not feel that their privacy has been intruded upon at any time during their stay at the facility.

Interviews with outside sources also confirmed that they have not observed any staff taking pictures or videotaping of any residents while they were visiting. The outside sources stated that their family members have not verbalized any concerns about their privacy being intruded upon.

LPA observed no audio cameras within the interior of the facility, that are only in the common areas. There is also and no audio camera outside of the facility to see who is outside of the door for mail. The administrator did verify that the staff are required to take a photo of the areas that have been cleaned prior to leaving at the end of their shift to provide the next shift of what areas were thoroughly cleaned. When staff are taking pictures of the bathrooms once they are cleaned can seem misleading to someone who is not a frequent visitor.

Based on LPA's interviews, observations and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with Guarav "Gary" Rathi, co administrator to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

LIC9099 (FAS) - (06/04)

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