019200873-7-20-2021-15-AS-KHOS-C5CPFC-20210728111632

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200873
Report Date: 07/20/2021
Date Signed: 07/20/2021 05:39:22 PM

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
07/15/2021 and conducted by Evaluator Laura Hall

COMPLAINT CONTROL NUMBER: 15-AS-20210715162512

FACILITY NAME:	POINT AT ROCKRIDGE, THE		FACILITY NUMBER:	019200873
ADMINISTRATOR:	SAVOIE, DEBORAH		FACILITY TYPE:	740
ADDRESS:	4500 GILBERT STREET		TELEPHONE:	(510) 658-9266
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94611
CAPACITY:	186	CENSUS: 140	DATE:	07/20/2021
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Deborah Savoie, Executive Director		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Staff hit resident.

Staff engaged in an argument with resident.

INVESTIGATION FINDINGS:

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On 7/20/2021 at 03:30 PM, Licensing Program Analysts (LPAs), L. Hall and G. Luk arrived unannounced to conduct an initial 10-day complaint investigation and to deliver complaint findings for the above allegations. LPAs met with Executive Director, Deborah Savoie, and explained the reason for the visit.

During the course of investigation, LPAs interviewed staff, resident and witness. LPAs obtained and reviewed residents' roster, and resident's file including physician's reports, care plans, emergency information. Interviews with witness, staff, and R1 indicated that involved party was an employee of an outside agency.

This agency has investigated the complaint on the above allegations, we have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.
Exit interview conducted and a copy of this report provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Laura Hall	TELEPHONE: (510) 622-2024
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021

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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