075600335-11-9-2021-15-AS-HHUL-CF2TL4-20220603144856

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600335
Report Date: 11/09/2021
Date Signed: 11/09/2021 04:41:35 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/02/2020 and conducted by Evaluator Grace Luk

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20201002152133

FACILITY NAME:	REUTLINGER COMMUNITY, THE		FACILITY NUMBER:	075600335
ADMINISTRATOR:	ZIMMER, JAY		FACILITY TYPE:	741
ADDRESS:	4000 CAMINO TASSAJARA		TELEPHONE:	(925) 648-2800
CITY:	DANVILLE	STATE: CA	ZIP CODE:	94526
CAPACITY:	120	CENSUS: 76	DATE:	11/09/2021
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Clara Allen, Executive Director		TIME COMPLETED:	04:55 PM

ALLEGATION(S):

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Resident was handled in a rough manner during COVID testing.

Violation of resident's personal rights.

INVESTIGATION FINDINGS:

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On 11/9/2021 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver complaint findings for the allegations above. LPA met with Executive Director, Clara Allen.

During the investigation, LPA interviewed residents and staff. LPA obtained and reviewed 3 resident's files including physician's report, care plan, and emergency information.

Interview with residents indicated that staff used the shorter swab so it wouldn't be too uncomfortable. Resident did not have a bad experience with the COVID test. Interview with staff indicated that if a resident refused COVID test, then staff would stop the test.

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

Exit interview conducted. A copy of this report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Grace Luk	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021

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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