374604416-1-6-2023-08-AS-IESA-CNL46G-20230130174931

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604416
Report Date: 01/06/2023
Date Signed: 01/06/2023 03:23:44 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
09/14/2022 and conducted by Evaluator Amy Domingo

COMPLAINT CONTROL NUMBER: 08-AS-20220914140919

FACILITY NAME:	RIGHT CHOICE SENIOR LIVING LLC - LA MESA		FACILITY NUMBER:	374604416
ADMINISTRATOR:	BROOKS, TODD		FACILITY TYPE:	740
ADDRESS:	6125 COWLES MOUNTAIN BLVD		TELEPHONE:	(619) 439-2294
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	6	CENSUS: 6	DATE:	01/06/2023
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Marilena Villa House Manager		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff impaired with alcohol while caring for residents
Staff not dispensing medication appropriately to residents
Staff yell at residents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced complaint investigation visit to the facility to deliver findings on the above allegations. LPA were granted entry to the facility by Marilena Villa, House Manager, after identifying herself and explaining the purpose of the visit.

The investigation consisted of interviews of residents, staff, and outside sources in addition to records review, and inspection of the facility.

It was alleged that facility staff were impaired with alcohol while caring for residents. Interviews with outside sources and residents revealed that staff have not been observed drinking or intoxicated while working or providing care. Staff denied consuming alcohol on facility grounds or being intoxicated while providing care to residents. Interviews with staff and residents confirmed that a couple of residents drink alcohol in the facility, specifically during BBQs or other social events. Staff indicated they monitor residents that drink alcohol socially to ensure they don’t have contraindications. Interview with staff in question (S3) revealed that S3 admits that some resident’s do have a few drinks at the facility during a holiday BBQ but the staff

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

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-20220914140919

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: RIGHT CHOICE SENIOR LIVING LLC - LA MESA	FACILITY NUMBER: 374604416
	VISIT DATE: 01/06/2023

NARRATIVE

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does not drink at the facility especially if thery are on the clock as all employees are invited to attend holiday BBQs.

It was alleged that staff did not dispense medication appropriately to residents, specifically that medication was found on the facility floor. Interviews with staff revealed that the facility has a buddy system to ensure medications are dispensed as prescribed. In addition, they conduct medication audits (reconciliations) in which they compare residents’ medication orders to the medications on hand to avoid medication errors. Multiple staff confirmed they observe residents take their medications and if a resident refuses, staff take the medication back, bag it and log it accordingly. Furthermore, staff notify the resident’s Primary Care Physician of the refusal. Staff deny finding medication on the floor or having residents that “cheek” (temporarily storing pills inside of the cheek of the mouth) their meds. Interviews with residents revealed they have not seen pills on the floor or heard of medication being assessable. Interviews with outside sources did not support the allegation and did not have concerns. During a tour of the facility on December 27, 2022, LPA and IAPA observed medications stored in a locked medication cart. Record review, to include review of medication logs, did not reveal inconsistencies with the administration of medications.

It was alleged that staff yell at residents. According to interviews, staff denied yelling at residents and denied observing other staff yell at residents. Staff described residents as calm and indicated they get along which results in little re-direction. Interviews with residents and outside sources corroborated staff statements and indicated they have not observed or witnessed staff yell at residents. Interview with staff in question (S3) revealed that S3 denies yelling at residents and denies observing any staff yell at residents.

Based on the evidence obtained during the complaint investigation, the allegations were found to be UNSUBSTANTIATED, as there is not a preponderance of evidence to prove the alleged violations occurred. An exit interview was conducted; a copy of this report along with licensee rights LIC 9058 (REV 3/22) were provided to House Manager and their signature confirms receipt of these documents.

SUPERVISORS NAME: John Rante
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2023

LIC9099 (FAS) - (06/04)

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