100406684-10-19-2023-24-AS-SMOA-CZCM5A-20240110081758

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 100406684
Report Date: 10/19/2023
Date Signed: 10/19/2023 03:52:22 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/04/2023 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20230804095241

FACILITY NAME:	SIERRA VIEW HOMES RESIDENTIAL CARE		FACILITY NUMBER:	100406684
ADMINISTRATOR:	PENNER, VIRGINIA B.		FACILITY TYPE:	741
ADDRESS:	1155 E. SPRINGFIELD		TELEPHONE:	(559) 638-9226
CITY:	REEDLEY	STATE: CA	ZIP CODE:	93654
CAPACITY:	78	CENSUS: 49	DATE:	10/19/2023
		UNANNOUNCED	TIME BEGAN:	12:57 PM
MET WITH:	Administrator, Jenny Penner		TIME COMPLETED:	02:33 PM

ALLEGATION(S):

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Staff are not following COVID -19 protocols.
Untrained staff are caring and supervising residents in care.

INVESTIGATION FINDINGS:

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On 10/19/2023 Licensing Program Analyst (LPA) M. Garza completed an unannounced complaint visit to deliver findings. LPA met with Administrator, Jenny Penner, explained reason for visit.

During the investigation, LPA reviewed documentation (schedules, staff roster and contact information, training records) and completed interviews with staff. Interview with Administrator indicated that there have been new staff that was hired. Upon review of the training records, it was observed that 4 of 4 staff did not have the required number of hours of training and 3 of 4 did not have the required training covering hospice, dementia, resident rights and change in condition). It was also indicated that the facility was not following COVID guidance by the most strenuous restrictions set forth and were using staff to cross cover for positive and negative residents. The allegations listed above have met the preponderance of evidence standard per Title 22. The allegations are SUBSTANTIATED. Deficiencies cited on 9099D.

Exit interview completed. A copy of this report and appeal rights given.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) -580-4596
LICENSING EVALUATOR NAME: Mary Garza	TELEPHONE: 559-365-9009
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

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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Control Number 24-AS-20230804095241

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: SIERRA VIEW HOMES RESIDENTIAL CARE	FACILITY NUMBER: 100406684
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/19/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/31/2023 Section Cited CCR 87470(a)	1 2 3 4 5 6 7	87470 Infection Control Requirements (a) A licensee shall ensure that infection control practices are maintained as follows:…	1 2 3 4 5 6 7	Administrator will complete training with all staff and DSD to properly train in infection control practices. In-service sign in sheet and training materials to be provided to CCL by POC date.
	8 9 10 11 12 13 14	This requirement was not met as evidence by LPA interview of Administrator stating there was an outbreak of COVID in the facility and due to staff shortages they were not able to follow guideline set forth by CCL, CDC and/or CDPH. Observation of training records indicated that 3 of 4 new staff have not had infection control practices training. This poses a potential health, safety and or personal rights risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) -580-4596
LICENSING EVALUATOR NAME: Mary Garza	TELEPHONE: 559-365-9009
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

LIC9099 (FAS) - (06/04)

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