045000603-9-3-2024-59-AS-KHOS-D8SQAQ-20240904120018

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045000603
Report Date: 09/03/2024
Date Signed: 09/03/2024 09:25:18 AM

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
07/05/2024 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 59-AS-20240705134922

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: 40	DATE:	09/03/2024
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	SONYA GONZALES		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff did not provide comfortable accommodations for residents.
Staff did not provide adequate food service.

INVESTIGATION FINDINGS:

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On 09/03/24 Donna Gurriere, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 07/05/24. LPA Gurriere met with Sonya Gonzales and explained the purpose of the visit.

Staff did not provide comfortable accommodations for residents.

During the interview process, numerous persons were interviewed to include the administrator from the Prestige Assisted Living at Oroville facility, the administrator from the Prestige Assisted Living at Marysville, a person from the Freedom Home Health agency, four staff persons and four residents.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

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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Control Number 59-AS-20240705134922

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: PRESTIGE ASSISTED LIVING AT OROVILLE	FACILITY NUMBER: 045000603
	VISIT DATE: 09/03/2024

NARRATIVE

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During the investigative process, it was reported that the facility was required to move the residents, as there was a fire in the vicinity of the facility. Approximately 38 residents were moved from the Prestige Oroville to a sister facility, Prestige Marysville. Residents were transported to the Marysville facility and were set up at that facility with beds and air mattresses to sleep on. The Marysville facility had some empty beds and the Freedom Home Health agency provided hospital beds for those residents on hospice. One resident reported that he tried to stack a few air mattresses on top of one another; however, when staff observed what he was trying to do, they removed the air mattresses and gave him a hospital bed due to his ambulatory status; staff confirmed. All residents stated that they were comfortable, and one resident advised “He was comfortable enough.”

It was stated that the facility bought air mattresses, bedding, and pillows for the residents. The American Red Cross was notified, and they arrived to provide blankets for all the residents.

The FEMA and American Red Cross, Shelter Field Guide FEMA P-785 states that during an evacuation in dormitory areas there should be cots or mats provided. In the American Red Cross Sheltering Handbook, it recommends that evacuees bring bedding to include sleeping bags or air mattresses, pillows, sheets, and blankets. The Handbook also states, “Organizing the shelter to provide service to clients requires many tasks including acquiring necessary supplies and equipment, recruiting sufficient staff and arranging for shelter security, if needed.”

The administrator and the staff followed the guidelines outlined in the Field Guide and the Sheltering Handbook. Administrators, staff, and the residents all reported that there was sufficient staffing during the evacuation process and when they were sheltering in place.

The above allegation is Unfounded. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20240705134922

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: PRESTIGE ASSISTED LIVING AT OROVILLE	FACILITY NUMBER: 045000603
	VISIT DATE: 09/03/2024

NARRATIVE

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Staff did not provide adequate food service.

During the interview process, numerous persons were interviewed to include the administrator from the Prestige Assisted Living at Oroville facility, the administrator from the Prestige Assisted Living at Marysville, four staff persons and four residents.

During the investigative process, it was reported by staff, residents, and the cook that the residents had adequate food service. The cook from Oroville reported that she worked with the cook from Marysville and that there was enough and plenty of food for the residents. Staff reported that they transported food from the Oroville facility and placed a Sysco (Food Distributor) order to purchase additional food. The cook reported that they did not run out of portion sizes or second helpings. It was also reported that the first night the residents arrived they had chili and cornbread and one of the other nights they had cheeseburgers and potato salad. All residents reported that there was plenty of food.

It is noted that when the residents were returned to Prestige Oroville, the administrator had “air scrubbers” in place to air out the facility. The administrator provided a receipt to verify that air scrubbers were used.

The above allegation is Unfounded. A finding of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024

LIC9099 (FAS) - (06/04)

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