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F0850
E

Unqualified Social Services Director Employed

El Cajon, California Survey Completed on 04-17-2025

Penalty

Fine: $25,7141 days payment denial
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to employ a qualified Social Services Director (SSD) on a full-time basis as required for facilities with more than 120 beds. An anonymous complaint was received regarding the SSD's qualifications, prompting an unannounced site visit by the California Department of Public Health. During interviews and record reviews, it was determined that the current SSD had only an associate's degree in nursing, was not a licensed nurse, and did not possess a bachelor's degree in social work or a related human services field as required by federal regulations. The SSD also lacked the necessary supervised social work experience in a health care setting. Both the Director of Nursing (DON) and the Human Resources Administrator (HRA) confirmed that the SSD did not meet the educational or experiential requirements outlined in the facility's job description and federal regulations. The SSD reported being placed in the position by a former administrator, who incorrectly informed her that she was qualified for the role. The current administrator was unavailable for interview, and the former administrator was no longer employed at the facility. This deficiency affected all 151 residents, as the facility did not have a qualified individual to provide medically-related social services necessary for residents' well-being.

See complete original report
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