075600335-9-15-2023-15-AS-YFLS-CW3MCB-20230927092917

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600335
Report Date: 09/15/2023
Date Signed: 09/15/2023 04:27:08 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/23/2022 and conducted by Evaluator Lizette Francisco

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20220323104321

FACILITY NAME:	REUTLINGER COMMUNITY, THE		FACILITY NUMBER:	075600335
ADMINISTRATOR:	KAUR, RAMANDEEP		FACILITY TYPE:	741
ADDRESS:	4000 CAMINO TASSAJARA		TELEPHONE:	(925) 648-2800
CITY:	DANVILLE	STATE: CA	ZIP CODE:	94526
CAPACITY:	120	CENSUS: 77	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Julie Mammad, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Residents do not receive proper incontinence care
Facility is unkempt
Residents are not provided adequate meals

INVESTIGATION FINDINGS:

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On 9/15/23 starting at 10:15 AM, Associate Governmental Program Analyst (AGPA) L. Francisco and Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the above allegations. AGPA and LPA met with Social Services Director, Caroline Allen and explained the purpose of the visit. AGPA and LPA later met with Executive Director, Julie Mammad.

During the course of the investigation, AGPA L. Francisco obtained information, reviewed records, collected documents, and interviewed staff and residents.

Allegation: Residents do not receive proper incontinence care

Based on interview with 4 staff, 4 of 4 staff stated residents are checked every 2 to 3 hours or as needed. On 4/4/23, AGPA toured facility and did not observe smell of urine.

REPORT CONTINUES ON 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette Francisco	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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 15-AS-20220323104321

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: REUTLINGER COMMUNITY, THE	FACILITY NUMBER: 075600335
	VISIT DATE: 09/15/2023

NARRATIVE

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Allegation: Facility is unkempt

AGPA interviewed 5 residents, 5 of 5 residents are satisfied with housekeeping. During the tour on 4/4/23, AGPA observed facility appeared to be sanitary and well kept.

Allegation: Residents are not provided adequate meals

AGPA interviewed 5 residents and 5 of 5 residents stated they are provided adequate meals. Although 2 of 5 expressed food did not have enough salt, there were no issues on the amount of food that are being provided. S2 stated salt are provided to each table if residents want to add salt to their meals.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted with Executive Director and a copy of this report provided.

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette Francisco	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/23/2022 and conducted by Evaluator Lizette Francisco

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20220323104321

FACILITY NAME:	REUTLINGER COMMUNITY, THE		FACILITY NUMBER:	075600335
ADMINISTRATOR:	KAUR, RAMANDEEP		FACILITY TYPE:	741
ADDRESS:	4000 CAMINO TASSAJARA		TELEPHONE:	(925) 648-2800
CITY:	DANVILLE	STATE: CA	ZIP CODE:	94526
CAPACITY:	120	CENSUS: 77	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Julie Mammad, Executive Director		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Personal Rights - Questionable Death

INVESTIGATION FINDINGS:

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On 9/15/23 starting at 10:15 AM, Associate Governmental Program Analyst (AGPA) L. Francisco and Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the above allegations. AGPA and LPA met with Social Services Director, Caroline Allen and explained the purpose of the visit. AGPA and LPA later met with Executive Director, Julie Mammad.

During the course of the investigation, AGPA L. Francisco obtained information, reviewed records, collected documents, and interviewed staff and residents.

Allegation: Personal Rights - Questionable Death

R1 was placed on hospice 1/10/2020 due to decline. R1 was under the care of Suncrest Hospice and the facility.

REPORT CONTINUES ON 9099C

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette Francisco	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 15-AS-20220323104321

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: REUTLINGER COMMUNITY, THE	FACILITY NUMBER: 075600335
	VISIT DATE: 09/15/2023

NARRATIVE

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AGPA Francisco reviewed medication orders from 12/15/2021 and compared to hospice care notes. AGPA Francisco did not find any discrepancies between the two records reviewed. The Department obtained a copy of R1’s death certificate and it was determined cause of death was from a condition that was onset for years.

This agency has investigated the complaint alleging questionable death. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted with Executive Director and a copy of this report provided.

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette Francisco	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 4