107206701-8-25-2022-24-AS-MHON-CHUVBM-20220901161746

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107206701
Report Date: 08/25/2022
Date Signed: 08/25/2022 11:02:50 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/29/2022 and conducted by Evaluator Alexandria Walton

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220729092622

FACILITY NAME:	VETERANS HOME OF CALIFORNIA-FRESNO		FACILITY NUMBER:	107206701
ADMINISTRATOR:	SCOTT H. RICHARDS		FACILITY TYPE:	740
ADDRESS:	2811 W. CALIFORNIA AVENUE		TELEPHONE:	(559) 493-4400
CITY:	FRESNO	STATE: CA	ZIP CODE:	93706
CAPACITY:	186	CENSUS: 162	DATE:	08/25/2022
		UNANNOUNCED	TIME BEGAN:	10:06 AM
MET WITH:	Administrator, Scott Richards and Standards Compliance Coordinator, Cheryl Cardoza		TIME COMPLETED:	10:49 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not adequately address resident's change in health condition

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 08/25/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator, Scott Richards and Standards Compliance Coordinator, Cheryl Cardoza.

Based on interviews and records review, Facility staff addressed the change in health condition for R1 and are in the process of locating placement. This agency has investigated the complaint alleging: Staff did not adequately address resident's change in health condition. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted. A copy of this report was discussed and provided to Administrator, Scott Richards, whose signature on this form confirms receipt of this document.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Alexandria Walton	TELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022

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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