Complaint Investigation Report

Casa de Maya, Spring Valley03/19/2024Licence 374604178

Census3
Date signed03/19/2024 11:14:44 AM
The inspector’s account

374604178-3-19-2024-08-AS-SJAB-D3YN2C-20240403100431

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN DIEGO RO , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/11/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20240311171232

Licensee did not meet staff -client ratio for clients in care.

Licensing Program Analyst (LPA) Tiffany Holmes conducted a visit to commence a complaint investigation into the above identified allegation. LPA was granted entry into the facility by Jose Gonzalez, Administrator, to whom LPA disclosed the purpose of the visit. Community Care Licensing (CCL) has investigated the above-listed complaint allegation. The investigation consisted of a review of outside source records and interview of facility staff.

It was alleged that the licensee did not meet staff-client ratio for clients in care. It was reported that, based upon the needs of the clients in care, the licensee was required by San Diego Regional Center to have a minimum of 207 hours for staff for the 3 clients. Interview conducted and a review of outside source records reflected that the hours reported were 151, 161, and 179 which means they were 34 hours short of the required 207 hours for San Diego Regional Center. Records reviewed were from January 2024, which showed the licensee did not have the minimum required number of staff providing client care. Based upon the foregoing, the allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegations are valid. Deficiencies are cited per California Code of Regulations, Title 22, and are noted on the attached LIC9099-D.

An exit interview was conducted with Jose Gonzalez, and a copy of this report, and Licensee/Appeal Rights (LIC9058) were provided at the conclusion of the visit, their signature on this report acknowledges receipt of copies of the reports and the rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction