045000644-6-11-2024-59-AS-LCRR-D73SQZ-20240711140532

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045000644
Report Date: 06/11/2024
Date Signed: 06/11/2024 01:30:05 PM

Unsubstantiated

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
03/25/2024 and conducted by Evaluator Jaynae Boyles

COMPLAINT CONTROL NUMBER: 59-AS-20240325115340

FACILITY NAME:	PRESTIGE ASSISTED LIVING AT CHICO		FACILITY NUMBER:	045000644
ADMINISTRATOR:	CORREA, GEORGEDINO		FACILITY TYPE:	740
ADDRESS:	1351 E. LASSEN AVENUE		TELEPHONE:	(530) 899-0814
CITY:	CHICO	STATE: CA	ZIP CODE:	95973
CAPACITY:	79	CENSUS: 60	DATE:	06/11/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Comminity Relations Director- Paul Blanchard		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff sexually abused resident.
Staff do not assist resident with incontinence care.
Staff do not distribute resident's medication as prescribed.
Staff do not treat resident with dignity and respect.
Staff do not answer resident's call button in a timely manner.
Staff are charging resident for services not rendered.
Staff handle resident in a rough manner.
Staff do not observe resident regularly for change in condition.
Staff did not ensure that a resident's dietary needs were met.

INVESTIGATION FINDINGS:

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On 06/11/2024, Licensing Program Analyst Jaynae Boyles made an unannounced visit to the facility and met with Community Relations Director. The purpose of this visit was to deliver the results of a complaint investigation.
During the course of the investigation the administrator, six (6) residents and nine (9) staff were interviewed. LPA reviewed the following documents for R1: resident admissions agreement, billing history, call button log for response times, care plan for R1 resident, LOC assessment for the resident and the preappraisal. LPA was able to request and review two Chico Police reports of incidents that occurred at the facility regarding R1. LPA reviewed investigation documents conducted by the facility. LPA reviewed eviction notification documentation provided by the facility regarding R1.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED.
An exit interview was conducted. A copy of the report was provided to administrator.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae Boyles	TELEPHONE: (916) 208-6251
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 59-AS-20240325115340

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 CHICO	FACILITY NUMBER: 045000644
	VISIT DATE: 06/11/2024

NARRATIVE

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LPA investigated, “Staff sexually abused resident”. LPA reviewed and incident report and investigation report from the facility and a Chico Police report regarding R1 and the sexual abuse allegations. Both reports indicate that the male staff named as the perpetrator was never alone with R1 on the night in question or any other time at the facility.

LPA investigated, “Staff do not assist resident with incontinence care”. All residents interviewed reported that they are checked frequently for incontinence care and will receive incontinence care when requested with a call light. All staff interviewed reported that they check residents who have incontinence care in their care plan every two hours and/or when the resident requests assistance with incontinence care.

LPA investigated, “Staff do not distribute resident's medication as prescribed”. All medication technicians (Med Tech) described the medication distribution policy and procedure. All med techs reported that all medications are distributed as described in the policy and procedure. All med techs interviewed reported that there were no medication errors with R1, but there were complications with getting medication orders from a physician regarding medical marijuana. However, the facility did receive and order for this medication and the family requested that it be changed without and order from a physician. The facility and the family agreed that this medication would be managed and stored by the family.

LPA investigated, “Staff do not treat resident with dignity and respect”. All residents interviewed reported that they are treated with dignity and respect. The administrator and Director of Health Care services reported that they train all staff to treat all residents with dignity and respect. All staff reported that they treat all residents with dignity and respect.

LPA investigated, “Staff do not answer resident's call button in a timely manner”. All staff interviewed stated that they were never told not to respond to R1. All staff reported that sometimes staff forget to “clear the call” and this would indicate a longer call time then what the actual call time is. All residents interviewed stated that the wait for help is not long, and never longer that 20 minutes.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae Boyles	TELEPHONE: (916) 208-6251
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 59-AS-20240325115340

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 CHICO	FACILITY NUMBER: 045000644
	VISIT DATE: 06/11/2024

NARRATIVE

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LPA investigated, “Staff are charging resident for services not rendered”. The administrator reported that the facility assessed R1 was a level three, at the onset of placement. After 30 days the facility completed a new assessment which indicated that the resident would be the highest level, six. The Administrator and the Director of Health Care services reported that it is normal for the facility to reassess the level of care after 30 days within the placement and both reported that R1 has very high needs, relating to behavioral and emotional needs. The Director of Health care services reported that the resident would request staff stay during the night because R1 was scared and appeared to have anxiety. The family of R1 and the facility agreed that companion care for R1 at the facility to help alleviate the behaviors R1 was experiencing at the facility. The facility provided all care for the resident.

LPA investigated, “Staff handle resident in a rough manner”. All residents interviewed reported that they have bever been handled in a rough manner, and staff have never hurt them when they were assisted. All staff reported that residents are treated cautiously. All residents reported that they feel safe and well cared for in the facility.

LPA investigated, “Staff do not observe resident regularly for change in condition”. The Director of Health Care Services explained that when a resident has a change in medication or there are concerns for a resident and their behavior the resident is monitored for a minimum of 72 hours. Direct of Health Care services explained that R1 was monitored several times due to medication changes or behavioral concerns. All staff interviewed explained that R1 was monitored more frequently because of changes in medications and behavior. All staff interviewed explained that they would document any concerns in the system for leadership to review and advise next steps. The Director of Health Care Services explained that this monitoring could be extended and often was extended for R1 to ensure all changes in condition were documented and monitored.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae Boyles	TELEPHONE: (916) 208-6251
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 59-AS-20240325115340

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 CHICO	FACILITY NUMBER: 045000644
	VISIT DATE: 06/11/2024

NARRATIVE

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LPA investigated, “Staff did not ensure that a resident's dietary needs were met”. LPA met with the dinning service manager who explained that all diets that are ordered by a physician are in the kitchen for staff to review. The dinning services manager reported that for residents who have a restricted diet are reminded of the restriction however not all residents abide by the diet ordered by their doctor. The dinning services manager reported that R1 did not follow their diet. The dinning services manager reported that R1 was on a diabetic diet and would often order outside of those recommendations. The dinning services manager reported that the dinning staff would remind R1 of the dietary restrictions and R1 would choose outside of the recommended diet for meals at the facility.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Jaynae Boyles	TELEPHONE: (916) 208-6251
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4