045001495-12-5-2022-25-AS-MSEY-CLUPKF-20221206102303

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045001495
Report Date: 12/05/2022
Date Signed: 12/05/2022 01:38:46 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/04/2022 and conducted by Evaluator Melissa Parks

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20220804090916

FACILITY NAME:	VILLA KRISTINA		FACILITY NUMBER:	045001495
ADMINISTRATOR:	COOK, AMY		FACILITY TYPE:	735
ADDRESS:	83 SKYMOUNTAIN CIRCLE		TELEPHONE:	(530) 809-4371
CITY:	CHICO	STATE: CA	ZIP CODE:	95928
CAPACITY:	6	CENSUS: 5	DATE:	12/05/2022
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Amy Cook		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

LPA Parks arrived on Monday December 5, 2022 to conclude a complaint investigation regarding the above allegation. Prior to the visit, LPA completed the required COVID-19 testing protocols and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask.

Allegation: Personal Rights
Complaint alleges that staff monitor client’s phones and social media and punish them and don't allow client to go on social media for a week or two. Staff tell client he is talking too "rudely." RP believes staff have put an app on client’s phone so that they can monitor. Additionally, staff don't always cook breakfast for client and will send client to ADP without being fed. Client had a dentist appointment that they didn't take him to as staff said they didn't have time.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

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 3

Control Number 25-AS-20220804090916

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: VILLA KRISTINA	FACILITY NUMBER: 045001495
	VISIT DATE: 12/05/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During the investigation, the Department interviewed, (1) client (C2), Licensee, Regional Center Service Coordinator, Adult Day Program representative and an individual who knows client (C1). Documentation was reviewed from C1’s file. The results of the investigation are as follows:

Regarding staff monitoring client (C1’s) cell phone- Client (C2) stated on 8/1022 that he is not aware of staff ever looking at his cell phone or his social media accounts or posts. Licensee stated on 8/10/22 that she has her staff monitor client’s Facebook but then stated “Frankly we don’t look” and stated the Service Coordinator from the Regional Center has informed her of client’s Facebook posts. A friend of C1 stated he is not sure if the owner or staff has linked their cell phone to C1’s cell phone, but they would have been able to do this when C1 was sleeping. A representative from the day program where C1 attends indicated on 11/18/22, "the only thing C1 said is that staff “definitely was seeing what he has posted" on his Facebook. C1’s Service Coordinator at the Regional Center stated on 11/18/22 that C1 has friends who are other clients and the friends contacted the day program about the air conditioning not working at the facility. Additionally, the service coordinator stated C1 friends on Facebook contacted her about the air conditioning and she does not think staff would try to gain access to C1’s Facebook account. Additionally, she stated she has no knowledge of any punishment given to C1 for posting negatively on Facebook, commenting further that she talked to C1 "personally about his claim that the facility staff "threatened to drop him off at a homeless shelter" and C1 admitted that was exaggerated and not true.

Based on information obtained, LPA finds this portion of the allegation to be UNSUBSTANTIATED.

Regarding staff not always cooking breakfast for clients, C2 stated staff cook breakfast, lunch and dinner and he only doesn’t eat breakfast when he has to fast for lab work. C2 stated that C1 gets offered breakfast everyday, “whatever he wants” and sometimes C1 chooses to skip breakfast and will eat later. Licensee stated the menu is being followed but sometimes clients don’t want the menu option. A friend of C1 stated that C1 has told him before that he missed breakfast due to "waking up late" and staff not being willing to serve him breakfast

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 25-AS-20220804090916

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: VILLA KRISTINA	FACILITY NUMBER: 045001495
	VISIT DATE: 12/05/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

A representative from the day program where C1 attends indicated on 11/18/22 that “(C1) doesn't have any physical indication of being hungry- he is always upbeat” and that C2 will tell them he didn't get to eat breakfast because he slept in. C1’s Service Coordinator at the Regional Center stated on 11/18/22 that she is not aware of C1 not being given breakfast/food if he wakes up late, and she is also not aware of any food being locked up, stating that the facility "should give him (C1) food when he wakes up and also C1 goes to day program everyday and she expects C1 is given food before he attends. Additionally, LPA Yang conducted an annual at the facility on 10/30/22 and observed sufficient food on hand and the only locked items in the kitchen were under the sink.

Based on information obtained, LPA finds this portion of the allegation to be UNSUBSTANTIATED.

Regarding staff not taking clients to medical or dental appointments, C2 stated he thinks he missed a dental appointment in 2021 due to staff possibly canceling it. Licensee stated on 8/10/22 that she and other staff take clients to medical and dental appointments and clients do not miss appointments. A friend of C1’s stated on 11/18/22 stated that C1 has missed a lot of medical and dental appointments due to staff not wanting or being able to take C1, and he advised C1 to communicate with his service coordinator to ensure he has transportation. A representative from the day program where C1 attends stated that C1 “verbalized quite a bit that he had to reschedule a lot of appointments" as staff don't provide transportation. The Service Coordinator for C1 stated that when she did her own audit, recently, on another client, and she observed much documentation on file for visit summaries of medical/dental appointments. The service Coordinator stated she did not review C1’s file, but the Administrator indicated to her that she has plenty of documentation for appointments that they have taken C1 to. In addition, a bus pass was purchased/given to C1 who is “pretty independent” and could go on doctor appointments by himself, but is not sure if he prefers to go with a staff member.

Based on information obtained, LPA finds this portion of the allegation to be UNSUBSTANTIATED.

Exit interview. Copy of report provided to facility.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Melissa Parks
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3