374604538-3-21-2025-08-AS-LTEZ-DG8V84-20250430161207

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604538
Report Date: 03/21/2025
Date Signed: 03/21/2025 02:09:15 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
03/14/2025 and conducted by Evaluator Nacole Patterson

COMPLAINT CONTROL NUMBER: 08-AS-20250314154803

FACILITY NAME:	RANCHVIEW SENIOR ASSISTED LIVING		FACILITY NUMBER:	374604538
ADMINISTRATOR:	SETTINERI, JEFFREY		FACILITY TYPE:	740
ADDRESS:	350 COLE RANCH ROAD		TELEPHONE:	(760) 753-5082
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY:	42	CENSUS: 24	DATE:	03/21/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Marketing Manager/Administrator Maria Flores		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff refused to provide assistive device to resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Marketing Manager/Administrator Maria Flores.

On 03/14/25 it was alleged that staff refused to provide an assistive device to a resident. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, outside sources, and records review. Three (3) staff members with medication technician training who worked morning and evening shifts were interviewed regarding the allegation. Staff interviews did not corroborate the allegation, as staff informed that Resident 1 (R1) used the CPAP machine at night and staff always assisted or attempted to assist them with it. Staff informed that R1 maintained the ability to place the CPAP machine on themselves, and sometimes refused staff assistance. Staff interviews also revealed that R1 would, at times, remove the machine from their head after it was placed. Staff confirmed that the portion of the machine that made contact with R1's face was routinely cleaned during each use, and the parts that could not have contact with water were wiped down. (Continued on LIC9099 p.2)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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-20250314154803

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: RANCHVIEW SENIOR ASSISTED LIVING	FACILITY NUMBER: 374604538
	VISIT DATE: 03/21/2025

NARRATIVE

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(Continued from LIC9099 p.1)

Staff informed that R1's machine was kept clean and dry when not in use. Staff informed that R1 used their CPAP machine every night.

Records review corroborated staff statements regarding R1's consistent use of the machine and its cleaning regimen. R1's Medication Administration Record (MAR) revealed that R1's CPAP machine was consistently administered each evening and cleaned. The record showed that the machine was checked each morning to ensure it was working effectively. Facility Narrative Charting and Outside Agency Reports showed communication between the facility, R1's Primary Care Physician, and R1's pharmacy regarding the CPAP machine. The records showed that the facility was in communication with all relevant agencies regarding R1's former CPAP machine being in disrepair. The records additionally showed that a hold was placed on R1's CPAP machine while R1's outside provider made arrangements for it to be repaired. No records were found to show that the machine was not cleaned after each use or that staff did not assist or attempt to assist R1 with putting the machine on each night.

Two outside sources were interviewed regarding the allegation. An outside protective agency also investigated the claims and informed that no evidence was found to corroborate the allegation, and that R1's machine was observed to be clean and regularly administered by staff each night. A second outside source familiar with the issue informed that R1's CPAP machine was new and additional information was not provided regarding details of the claims such as witnesses, dates/times occurred, or specific staff members who had been accused.

LPA directly observed R1's former and new CPAP machines during an unannounced facility visit. The formerly used machine showed wear, however, the nasal canal that made contact with R1's face was clean and dry. The new machine was not observed to have any wear and the nasal canal was clean and dry. Both machines were stored in individual, labeled boxes in a secure location. LPA also observed three (3) signs above R1's bed with detailed instructions regarding the CPAP machine's administration. The signs included photos and wording to show what the mask should look like when it is placed on correctly.

R1 was not able to be interviewed due to not being at the facility during the visit.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Marketing Manager/Administrator Maria Flores, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC9099 (FAS) - (06/04)

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