045002773-3-7-2022-25-AS-LMUZ-CDTQ72-20220425115426

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045002773
Report Date: 03/07/2022
Date Signed: 03/07/2022 10:28:50 AM

Unfounded

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
01/31/2022 and conducted by Evaluator Dawn Keane

COMPLAINT CONTROL NUMBER: 25-AS-20220131100608

FACILITY NAME:	ROSELEAF OROVILLE		FACILITY NUMBER:	045002773
ADMINISTRATOR:	BROWN, TERRY L		FACILITY TYPE:	740
ADDRESS:	1900 20TH ST		TELEPHONE:	(530) 538-8200
CITY:	OROVILLE	STATE: CA	ZIP CODE:	95965
CAPACITY:	60	CENSUS: 29	DATE:	03/07/2022
		UNANNOUNCED	TIME BEGAN:	12:52 PM
MET WITH:	Terry Brown, Administrator		TIME COMPLETED:	01:33 PM

ALLEGATION(S):

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Staff does not give resident phone time.
Staff does not give resident television time.

INVESTIGATION FINDINGS:

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On 2/8/22 at 12:10 p.m. Licensing Program Analyst (LPA) Misty Valencia interviewed Administrator (AD) Terry Brown regarding the above allegations. AD reports that per the admission agreement, the facility does not provide phones nor TV's for residents in their rooms, although phones and TV's are available throughout the facility in common areas.
LPA Keane reviewed admission agreement and the agreement states that "Your apartment will be furnished with basic cable television hook-up, water, electricity, garbage removal, heat and air conditioning. You will be responsible for telephone, cable television and internet services which will be billed directly to you by the responsible company or companies " On 3/7/22, LPA Keane interviewed 3/24 staff and 4/29 residents who all stated that phones are available to residents for private use in (4) areas of the building. Also, residents have personal phones and Ipads for use as well.
The preponderance of evidence standard has not been met. LPA finds the allegation to be Unfounded. Meaning the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted copy of the report given to AD.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5991
LICENSING EVALUATOR NAME: Dawn Keane	TELEPHONE: (530) 895-2660
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

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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