019200474-9-18-2023-15-AS-JWAN-CVSNXA-20230918105045

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200474
Report Date: 07/14/2023
Date Signed: 09/18/2023 10:50:45 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/16/2022 and conducted by Evaluator Jennifer Walden

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20220216085039

FACILITY NAME:	STONERIDGE CREEK PLEASANTON		FACILITY NUMBER:	019200474
ADMINISTRATOR:	EZEKIEL GRIFFIN		FACILITY TYPE:	740
ADDRESS:	3300 STONERIDGE CREEK WAY		TELEPHONE:	(925) 201-4000
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY:	828	CENSUS:	DATE:	07/14/2023
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Ezekiel Griffin, ED		TIME COMPLETED:	08:41 AM

ALLEGATION(S):

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Provider failed and refused to disclose to residents all the bases on which increases have been estimated.

INVESTIGATION FINDINGS:

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Complainant alleges that Provider failed and refused to disclose to residents all the bases on which increases have been estimated which is in violation of H&SC §1788(a)(22)(B) states, “For monthly fee continuing care contracts, except prepaid contracts, changes in monthly care fees shall be based on projected costs, prior year per capita costs, and economic indicators.”

The Department interviewed Ezekiel Griffin, Executive Director -Stoneridge (ED), on March 1, 2022 and March 9 and Warren Spieker, Managing Partner of Continuing Life, Inc. (MP) on December 14, 2022 and received and reviewed the following documents:

• FYE 2020 – 2023 Budget Presentation PowerPoints provided to compare.
• Budget Updates July 2022 – September 2022
• Emails between complainant and ED

Based on the review of all documentation provided and the request of information by the complainant, the Providers provided information that was sufficient and thoroughly detailed the factors that went into the Monthly Care Fee Increase (MCFI). Additionally, the statutes do not specify how granular the description of the basis of increases must be as long as the factors are based on projected costs, prior year per capita costs, and economic indicators. The Department has determined that the allegation is “unsubstantiated” due to lack of evidence that the provider failed to disclose the factors used to in determining the MCFI.

Amended findings were shared by via Teams with Ezekiel Griffin 9/16/2023 at 9:30am. Signed copy of LIC9099 emailed.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Allison Nakatomi	TELEPHONE: (916) 531-5336
LICENSING EVALUATOR NAME: Jennifer Walden	TELEPHONE: (916) 651-8148
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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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