247201669-12-7-2021-24-AS-SPIY-C9SPLS-20211217102511

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 247201669
Report Date: 12/06/2021
Date Signed: 12/07/2021 01:03:19 PM

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
01/26/2021 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20210126120759

FACILITY NAME:	MISSION GARDENS		FACILITY NUMBER:	247201669
ADMINISTRATOR:	ELINA MOILANEN		FACILITY TYPE:	740
ADDRESS:	1450 EAST 27TH STREET		TELEPHONE:	(209) 384-3300
CITY:	MERCED	STATE: CA	ZIP CODE:	95340
CAPACITY:	15	CENSUS: 0	DATE:	12/06/2021
		UNANNOUNCED	TIME BEGAN:	04:18 PM
MET WITH:	Adminstrator, Elina Moilanen		TIME COMPLETED:	05:04 PM

ALLEGATION(S):

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Staff is not addressing the residents toileting needs.
Staff behavior poses as a risk to residents while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) M. Garza arrived at the facility to complete an announced complaint visit. LPA identified herself and explained the purpose of the visit. LPA met with Adminsitrator, Elina Moilanen to deliver findings on the above allegations.

During the investigation LPA reviewed physician reports of the residents in care, call signal logs, and conducted interviews with RP, staff, residents and family members. Interviews showed that there were no concerns with the residents toileting needs or behaviorial issues with staff. Physicians reports showed that 2 or 6 residents were able to meet their own needs. Call logs reflect that an average of 4 minutes was met by staff to assist residents when called. Althought the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview completed.

Due to COVID precautionary measure a copy of this report will be emailed. A delivered and read receipt serves as confirmation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Mary Garza	TELEPHONE: (559) 365-9009
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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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