Complaint Investigation Report

374604579-2-8-2024-08-AS-SJAB-D2VPYK-20240228104401

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

01/31/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20240131173233

Licensee had a locked dead bolt on facility exit door

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to open a complaint investigation into the above listed allegation. LPA introduced herself, was granted entry, and met with Sally Saif, Administrator, to whom she disclosed the reason for the visit.

LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that the licensee had a locked dead bolt on the facility exit door. Interviews revealed there were 3 (911) calls within a week due to the facility having a locked dead bolt on an exit door of the facility. Interviews from outside sources revealed that the staff on duty did not have a key present for the exit door to exit the house from inside to outside. Interviews revealed the fire department came out to the facility on January 31, 2024 to take a client to the hospital and while at the facility they observed the lock on the front door and immediately brought it to the attention of the staff that it needed to be removed due to it being a fire hazard. Interviews revealed that they removed the lock the same day and put a lock that turns so the clients are able to get out in case of an emergency.

Interviews also revealed that the keys would not be in the door (in the lock) at times. The staff would be able to unlock the doors but the kets were seperate. Interviews revealed the lock has been changed and that it is safer for the everyone that the deadbolt like is not in the door any longer. The above-mentioned allegation is substantiated. The violation is cited in accordance with California Code of Regulations, Title 22, and is recorded on the attached 9099-D (Deficiency) Page.

An exit interview was conducted with Sally Saif, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.