079201218-1-12-2024-15-AS-KHOS-D46KX2-20240409081650

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201218
Report Date: 01/12/2024
Date Signed: 01/12/2024 04:54:18 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
01/11/2024 and conducted by Evaluator James Sampair

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20240111104852

FACILITY NAME:	BYRON PARK		FACILITY NUMBER:	079201218
ADMINISTRATOR:	RICARDO ROMERO		FACILITY TYPE:	740
ADDRESS:	1700 TICE VALLEY BLVD		TELEPHONE:	(925) 937-1700
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94595
CAPACITY:	151	CENSUS: 160	DATE:	01/12/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Executive Director Ricardo Romero		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility is not maintaining a comfortable temperature for residents.

INVESTIGATION FINDINGS:

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On 1/12/2024 at 1:00 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct a complaint investigation of the allegation above. Upon entry into the facility, the LPA informed Exectutive Director (ED) Ricardo Romero of the purpose of the visit.

The complainant alleged that the staff were not maintaining a comfortable temperature for residents. The temperature in the main dining room was measured at 69.5 degrees Fahrenheit at 4:34 PM at the beginning of the evening mealtime. 4 of the 6 residents interviewed responded "No." when asked if at mealtimes it was uncomfortably cold in the dining room. The ED explained that they were actively working to resolve the draft that brings colder air through the dining room.

Although the allegation may have happened, or are valid, there is not a preponderance of evidence to prove them; therefore, the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided for Administrator via email.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

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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