075600335-9-15-2023-15-AS-YFLS-CXS2H8-20231120162420

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600335
Report Date: 09/15/2023
Date Signed: 09/15/2023 04:24:24 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
08/24/2022 and conducted by Evaluator Lizette Francisco

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20220824143836

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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Resident sustained an injury while in care
Staff failed to seek medical attention for resident in a timely manner
Insufficient staffing to meet residents' needs
Facility is going through a possible financial crisis
Facility failed to provide adequate food service
Facility did not respond to family council's concern in a timely manner

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: Resident sustained an injury while in care
According to incident report on 9/2/2021 revealed R1 sustained a L-shaped skin tear to the lower left leg while being transferred off the toilet by a registry staff at 5:30 PM. However, first aid was performed by facility staff and resident was admitted to the hospital at 7:45 PM.

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 3

Control Number 15-AS-20220824143836

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: Staff failed to seek medical attention for resident in a timely manner

Based on record review, first aid was performed on R1's lower leg by facility staff. R1 was admitted to the hospital and was treated wound care for extremity laceration. When R1 returned to the facility late in the evening, R1 was under observation by staff and wound would not stop bleeding post sutures completed at the hospital. Resident was admitted to emergency on 9/3/21 and 9/4/21. Facility conducted a meeting with R1's responsible parties once it was determined facility is unable to care for the wound. Resident was transferred to skilled nursing facility on 9/4/21.

Allegation: Insufficient staffing to meet residents' needs

Based on interview with 6 residents, 5 of 6 residents had no issue with staffing. 5 of 6 residents stated staff checks on them and meets their needs.

Allegation: Facility is going through a possible financial crisis

The Department investigated facility is going through a possible financial crisis. Based on information obtained, the Department discovered the occupancy trend from Key Indicator Report (KIR) reveals that the decline occurred in FYE 12/31/20 and afterward because of restrictions placed during COVID-19. This community has a 60-bed skilled nursing facility and 40 beds were occupied as of June 2022. The meeting with the Eskaton, the management company and affiliate, confirms that they have a plan in place and working to improve operating performance and occupancy.

REPORT CONTINUES ON 9099C

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)

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Control Number 15-AS-20220824143836

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 failed to provide adequate food service

Based on interview with 6 residents, 5 of 6 stated they receive adequate food service.

Allegation: Facility did not respond to family council's concern in a timely manner

Based on interview with S4, family council is held once a month and when COVID started, meeting was conducted via zoom. Family council member will email S4 the schedule and an email blast will be sent to all the family members. Executive Director at the time would respond to any concerns via email. AGPA was unable to prove or disprove allegation.

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)

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