045000603-5-9-2024-59-AS-KHOS-D5YKBW-20240606074614

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045000603
Report Date: 05/09/2024
Date Signed: 05/09/2024 02:18:44 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/09/2024 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20240409160402

FACILITY NAME:	PRESTIGE ASSISTED LIVING AT OROVILLE		FACILITY NUMBER:	045000603
ADMINISTRATOR:	GONZALES, SONYA		FACILITY TYPE:	740
ADDRESS:	400 EXECUTIVE PARKWAY		TELEPHONE:	(530) 534-8160
CITY:	OROVILLE	STATE: CA	ZIP CODE:	95966
CAPACITY:	88	CENSUS: 44	DATE:	05/09/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Sonya Gonzales - Executive Director		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff are confining residents in their rooms - UNFOUNDED

INVESTIGATION FINDINGS:

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05/09/2024 01:00 PM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Executive Director Sonya Gonzalez. The purpose of this visit was to deliver the results of a complaint investigation.

It was reported that residents were forced to stay in their rooms during a recent outbreak of Covid 19.
During the course of the investigation LPA interviewed the Executive Director and 7 residents. LPA reviewed the following documents: Staff roster with telephone numbers, resident roster.

Six of seven residents interviewed stated they were not forced to stay in their rooms during a recent Covid outbreak.

This agency has investigated the complaint alleging staff are confining residents in their rooms. We have found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable
basis.
An exit interview was conducted. A copy of the report was provided to Executive Director Sonya Gonzales.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Rebecca Knight	TELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024

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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