045001959-11-9-2021-25-AS-KHOS-C9YK4Z-20211223063509

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045001959
Report Date: 11/09/2021
Date Signed: 11/09/2021 11:17:49 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/14/2021 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20210614100110

FACILITY NAME:	WINDCHIME OF CHICO		FACILITY NUMBER:	045001959
ADMINISTRATOR:	DAVID, RACHEL		FACILITY TYPE:	740
ADDRESS:	855 BRUCE RD		TELEPHONE:	(530) 566-1800
CITY:	CHICO	STATE: CA	ZIP CODE:	95928
CAPACITY:	120	CENSUS: 50	DATE:	11/09/2021
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	RACHEL DAVID		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility staff are not properly trained.

INVESTIGATION FINDINGS:

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Donna Gurriere, Licensing Program Analyst was in contact with Rachel David, Administrator. It was alleged that Facility staff are not properly trained.

LPA Gurriere 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. The administrator/staff person was contacted to complete a facility risk assessment. LPA Gurriere ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask. Additionally, LPA Gurriere was screened by a staff person upon entering the facility.

continued

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021

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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Control Number 25-AS-20210614100110

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: WINDCHIME OF CHICO	FACILITY NUMBER: 045001959
	VISIT DATE: 11/09/2021

NARRATIVE

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During the interview process, the administrator and ten staff persons were interviewed. Documents received and reviewed included transcripts of staff persons from Relias Online Training. Topics included Cultural Competency, Dementia Care, Depression in Older Adults, Resident Rights, Elder Abuse, Safe Transfers, Understanding California’s Workplace Violence Regulations, Proper Positioning, Fire Safety, Health Insurance Privacy and Portability Act (HIPPA-The Basics), Postural Supports, Restricted and Prohibited Health Conditions, Hospice Care and several other topics.

Required Training for staff hired after 01/01/16 includes: Cultural Competency, Personal Care Services; Physical Limitations and Needs of the Elderly; Residents’ Rights; Dementia Care; Building and Fire Safety and Appropriate Response to Emergencies; Antipsychotic and Psychotropic Medications; Policies and Procedures Regarding Medications; and Postural Supports, Restricted Health Conditions and Hospice Care.

It was reported and verified that staff persons are trained through Relias Online Training and then provided training by shadowing a more experienced staff person for the required 16 hour initial training, as required. Overall, staff persons stated that they do receive training; however, they do not feel that the training is enough. The facility is following the mandated training as outlined in the regulations by meeting the training criteria that is required.

Overall, it could not be proven that the Facility staff are not properly trained. Although the allegation may have happened, or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated. No deficiencies cited.

Based on the staff persons interviews, it is recommended that the administrator take a poll with the staff persons to determine what additional training needs they would like to receive.

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021

LIC9099 (FAS) - (06/04)

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