107206609-3-7-2023-24-AS-SMOA-CPVKTG-20230313081105

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107206609
Report Date: 03/07/2023
Date Signed: 03/07/2023 01:40:50 PM

Unsubstantiated

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
11/21/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20221121164050

FACILITY NAME:	GETTYSBURG CHRISTIAN HOME		FACILITY NUMBER:	107206609
ADMINISTRATOR:	DYER, ELIZABETH		FACILITY TYPE:	740
ADDRESS:	4844 E. GETTYSBURG		TELEPHONE:	(559) 294-9080
CITY:	FRESNO	STATE: CA	ZIP CODE:	93726
CAPACITY:	18	CENSUS: 13	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	10:13 AM
MET WITH:	Licensee Elizabeth Dyer		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff do not monitor resident's pressure injuries.
Staff do not keep up with resident's showering needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) K. Kaur and K. Brown arrived at the facility unannounced for a subsequent inspection. LPA discussed the purpose of the visit and the elements of the allegations with administrator via telephone.

The Department investigated the allegations listed above. During the visit LPAs conducted interviews and record review. Based on review of the discharge summary, from skilled nursing facility (SNF) R1 did not have a pressure injury upon re-admission to the facility though skin related concerns were noted. Per Home Health agency wound care was started on 10/17/22 for a stage 2. Based of interviews R1 was provided bed baths by facility care givers because facility staff were unable to get R1 out of bed.

Based on the interviews conducted, the allegations listed above are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) -58-4596
LICENSING EVALUATOR NAME: Kamaldeep Kaur	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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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