275202569-2-8-2023-24-AS-BCHN-CP9W25-20230221155343

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 275202569
Report Date: 01/30/2023
Date Signed: 02/08/2023 02:12:32 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
01/25/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230125133711

FACILITY NAME:	MADONNA GARDENS		FACILITY NUMBER:	275202569
ADMINISTRATOR:	PATRICIA KING		FACILITY TYPE:	740
ADDRESS:	1335 BYRON DR		TELEPHONE:	(831) 758-0931
CITY:	SALINAS	STATE: CA	ZIP CODE:	93901
CAPACITY:	88	CENSUS: 48	DATE:	01/30/2023
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Executive Director, Tyler Barnes		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Residents are being put to bed too early
Residents are eating dinner too early

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to open a complaint investigation. LPA Hurt met with facility Executive Director Tyler Barnes and explained the purpose of today's visit.

Regarding the allegation residents are being put to bed too early. Based on interviews conducted the residents are not being to bed too early. LPA Hurt interviewed five facility staff who all stated the residents are not being put to bed at any specific time. Staff 1 stated after dinner around 6pm residents are directed to the common area for television or movie time, and some residents stay in there until past 8pm. Staff 2 stated she does medication pass at 8pm, during that time she will see residents awake watching television or reading a book in the common areas. Staff 3 stated the residents are allowed to stay awake as late as they want and staff is not being directed to put any residents to bed at a specific time. Therefore, this allegation is UNSUBSTANTIATED. A finding that an allegation is Unsubstantiated means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Continued on 9099C ...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 24-AS-20230125133711

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: MADONNA GARDENS	FACILITY NUMBER: 275202569
	VISIT DATE: 01/30/2023

NARRATIVE

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..Continued from 9099

Regarding the allegation Residents are eating dinner too early. Based on LPA interviews the facility residents are not eating dinner too early. LPA Hurt interviewed five facility memory care staff who all stated the policy is for residents to have dinner at 5 p.m. and breakfast is between 7 a.m. and 8 a.m., no more than 15 hours elapsing between the third and first meals of the day. Therefore, this allegation is UNSUBSTANTIATED. A finding that an allegation is Unsubstantiated means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No Deficiencies cited today per Title 22 Regulations.

Exit interview conducted with Executive Director Tyler Barnes, and a copy of this report left at the facility.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

LIC9099 (FAS) - (06/04)

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