045002773-10-11-2023-59-AS-KHOS-CWPQA4-20231017115920

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045002773
Report Date: 10/11/2023
Date Signed: 10/11/2023 01:57:30 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
08/11/2023 and conducted by Evaluator Rebecca Knight

COMPLAINT CONTROL NUMBER: 59-AS-20230811085632

FACILITY NAME:	ROSELEAF OROVILLE		FACILITY NUMBER:	045002773
ADMINISTRATOR:	BINGHAM, DIANIA		FACILITY TYPE:	740
ADDRESS:	1900 20TH ST		TELEPHONE:	(530) 538-8200
CITY:	OROVILLE	STATE: CA	ZIP CODE:	95965
CAPACITY:	60	CENSUS:	DATE:	10/11/2023
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Michelle Hernandez - administrator in training		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility not maintained in good repair

INVESTIGATION FINDINGS:

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10/11/2023 11:00 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Michelle Hernandez - administrator in tranining. The purpose of this visit was to deliver the results of a complaint investigation.

During the course of the investigation LPA interviewed the Executive Director and one staff. LPA reviewed the following documents: staff list with telephone numbers, resident list, electrician’s invoice for replacement of breaker, central air conditioning repair invoices for the past year.

Continued no LIC9099-C

Unsubstantiated

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: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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-20230811085632

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: ROSELEAF OROVILLE	FACILITY NUMBER: 045002773
	VISIT DATE: 10/11/2023

NARRATIVE

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Facility not maintained in good repair

It was reported that the temperature inside of R1’s room is uncomfortable and that R1 can't use their portable air conditioning unit provided by the facility to cool down their room because the electrical outlets do not work.

When LPA visited the facility on 8/11/2023 the facility was a comfortable temperature. LPA observed four thermostats that were set at temperatures of 76 to 77 degrees farenheit. LPA entered Resident 1's room where the electrical outlets were functioning and there was a portable AC unit that was plugged in and functioning. The room temperature measured 77 degrees farenheit according to LPA's hand-held temperature gauge.

LPA reviewed an invoice from Run Electric dated 08/04/2023 that includes details about a repair that was completed for a breaker that was tripping and diagnosed as bad. The breaker was replaced, unit tested and performed satisfactorily per electrician’s notes. LPA also reviewed invoices for multiple visits for the repair and maintenance of the facility’s central air conditioning dating from 06/01/2022 through 05/31/2023.

Staff interviews revealed that the breaker in R1’room has been replaced and the facility has been having issues with the central air conditioning and is in the process of fixing it.

Administrator stated As soon as I was told the outlet in R1’s room was not working we called the electrician in. He replaced the breaker. Grimes (air conditioning repair company) came in and helped with how to set the thermostats and we set them all at 78 degrees, a comfortable temperature. All of the med techs have the parameters, They all know what is a reportable temperature. We had a problem with one AC and we traced it during temp checks and they were compliant but were running in the 80s. We were trying to figure it out. We got portables for every room that was having issues. We moved the other residents into rooms where the central air conditioning was working properly if their families were willing to move them, the others got portables.

It was determined that the facility hired an electrician to complete the repair/replacement of the broken electrical outlets in R1’s room and supplied R1 with a portable air conditioning unit which cools their room sufficiently. In addition, the facility has taken and continues to take reasonable measures to repair the central air conditioning in the facility.

Although the allegation may have happened is are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are UNSUBSTANTIATED.

Exit interview conducted and a copy of the report was provided to Executive Director Diania Bingham.

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Rebecca Knight	TELEPHONE: (530) 356-2841
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC9099 (FAS) - (06/04)

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