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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 075600335
Report Date: 11/01/2023
Date Signed: 11/01/2023 02:39:33 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
01/25/2022 and conducted by Evaluator Lizette Francisco
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20220125114454
FACILITY NAME:REUTLINGER COMMUNITY, THEFACILITY NUMBER:
075600335
ADMINISTRATOR:KAUR, RAMANDEEPFACILITY TYPE:
741
ADDRESS:4000 CAMINO TASSAJARATELEPHONE:
(925) 648-2800
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY:120CENSUS: 83DATE:
11/01/2023
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Julie Mammad, Executive DirectorTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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Facility does not have staffing levels to meet the needs of the residents.
Facility is making false claims about caregiver to resident ratios.
Administrator is not adequately performing required duties.
Facility is not carrying out planned activities.
INVESTIGATION FINDINGS:
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On 11/1/2023 starting at 1:40 PM, Associate Governmental Program Analyst (AGPA) L. Francisco arrived unannounced to deliver findings for the above allegations. AGPA met with Executive Director, Julie Mammad and explained the purpose of the visit.

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

Allegation: Facility does not have staffing levels to meet the needs of the residents.

Based on information obtained from complainant, on 1/22/2022, there was 1 caregiver in the memory care unit.

***REPORT CONTINUES ON 9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette FranciscoTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
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 2
Control Number 15-AS-20220125114454
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: 11/01/2023
NARRATIVE
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During record review, AGPA observed a text message on 1/21/22 between S3 and the scheduler from registry agency confirming two registry staff are being sent to work at the facility in the AM shift and five staff in the PM shift for 1/22/22. Registry agency responded and confirmed it was correct the following day. AGPA observed a text a couple minutes after confirming that the five registry staff for PM shift are actually scheduled on Sunday, 1/23/22, but the two registry staff in the AM were are willing to work double shift. However, interview with S1 revealed that the facility made multiple efforts to obtain staffing by contacting facility staff and registry agencies to obtain additional staffing for coverage. S1 stated staff from assisted living covered during the transition until another staff and S1 arrived to the facility.

Allegation: Facility is making false claims about caregiver to resident ratios.

However, LPA reviewed a sample of 5 residents records during January of 2022 and 5 of 5 residents did not require 1 on 1 care. Interview with S1 and S2 revealed that if there were issues with coverage, the facility will go through registry staffing to provide the coverage needed.,

Allegation: Administrator is not adequately performing required duties.

However, based on interview and record review, during the COVID-19 outbreak, staff and Executive Director were in communication with each other to address any staffing issues.

Allegation: Facility is not carrying out planned activities.

Based on interview with staff and residents, when there was a COVID outbreak, activities were being delivered to residents rooms during isolation.

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 and a copy of this report provided to Executive Director.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Lizette FranciscoTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 11/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2