107208908-6-12-2023-24-AS-BCHN-CSYU3U-20230620151404

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107208908
Report Date: 06/08/2023
Date Signed: 06/12/2023 08:07:58 AM

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
03/21/2023 and conducted by Evaluator Vadim Gorban

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20230321164409

FACILITY NAME:	WESTMONT OF FRESNO		FACILITY NUMBER:	107208908
ADMINISTRATOR:	ERIK V. SCHUK		FACILITY TYPE:	740
ADDRESS:	7442 & 7468 N MILLBROOK AVE		TELEPHONE:	(559) 446-1266
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY:	155	CENSUS: 108	DATE:	06/08/2023
		UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Administrator, Erik Schuk		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility does not have adequate staff to meet the needs of the residents
Facility staff are not properly handling resident's medications.

INVESTIGATION FINDINGS:

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On 06/08/2023, Licensing Program Analyst (LPA) Gorban arrived at the facility unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and was greeted by receptionist. LPA requested to meet with the Administrator.
LPA toured facility, reviewed residents’ records, observed residents in common area. LPA discussed finding with Administrator Erik Schuk.

Allegation: Facility does not have adequate staff to meet the needs of the residents.
During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. During LPAs visit, based on observation facility had substantial number of staff. Based on records review and facility provided proof of medications, elderly and dementia training, the allegation: Facility does not have adequate staff to meet the needs of the residents is UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Vadim Gorban	TELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

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-20230321164409

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: WESTMONT OF FRESNO	FACILITY NUMBER: 107208908
	VISIT DATE: 06/08/2023

NARRATIVE

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Allegation: Facility staff are not properly handling resident's medications.

During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. LPA observed medication technicians handling residents’ medication while visiting facility. Based on observation, record review and interviews conducted with residents and staff, the allegation is unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur therefore this allegation is UNSUBSTANTIATED.

Exit interview conducted. Report signed and copy of this report provided to Erik Schuk Administrator for facility records.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Vadim Gorban	TELEPHONE: (559) 243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023

LIC9099 (FAS) - (06/04)

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