275202817-1-17-2024-24-AS-BCHN-CZZ2PP-20240130163436

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 275202817
Report Date: 01/12/2024
Date Signed: 01/17/2024 12:28:08 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
07/27/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230727085845

FACILITY NAME:	VISTA HARDEN RANCH		FACILITY NUMBER:	275202817
ADMINISTRATOR:	CARTER, JOY		FACILITY TYPE:	740
ADDRESS:	290 REGENCY CIRCLE		TELEPHONE:	(805) 319-7370
CITY:	SALINAS	STATE: CA	ZIP CODE:	93906
CAPACITY:	83	CENSUS: 72	DATE:	01/12/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Business Office Director, Maria Perez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not ensure a safe and healthful environment for residents during an electrical outage
Staff left resident on floor for an extended period of time
Staff did not respond to residents pendent
Staff do not safeguard residents personal belongings

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above. LPA met with facility Business Office Director, Maria Perez and explained the purpose of today's visit.

Regarding the allegation Staff did not ensure a safe and healthful environment for residents during an electrical outage. The facility conducts Disaster drill trainings and has specific protocols on how to handle electrical outages including hourly checks on residents. LPA interviewed four facility residents and a majority agreed the facility staff does ensure a safe and healthful environment during electrical outages. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Continued..

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: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

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 3

Control Number 24-AS-20230727085845

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: VISTA HARDEN RANCH	FACILITY NUMBER: 275202817
	VISIT DATE: 01/12/2024

NARRATIVE

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Continued..

Regarding the allegation staff left resident on floor for an extended period of time. Resident 1 stated during the first power outage that occurred in July 2023 the facility staff did not conduct checks timely. Resident 1 stated they did fall, and was finally able to get up on their feet by themselves after being on the floor for hours. LPA Hurt interviewed facility staff 1 present during the power outage, who stated they clearly remember doing hourly checks during the power outage and observing Resident 1 in bed during checks. Staff 1 stated there was no alarm alerting caregivers Resident 1 pushed their pendant requesting assistance during the outage. Based on conflicting information provided it is not clear how long Resident 1 was on the floor during the power outage. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Staff did not respond to residents pendant. Facility residents’ pendants do work during power outages. Staff 2 stated the caregivers do get alerts if someone pushes their pendant during an outage, and there was no indication Resident 1 pushed their pendant to alert staff of a fall. Staff 1 stated a report was printed the day after the power outage and there was no record of Resident 1 pushing their pendant. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Staff do not safeguard residents personal belongings. Reporting party stated they are missing several personal items including expensive T-shirts and clothing. LPA Hurt reviewed Reporting Parties “Client/ Resident Personal Property and Valuables” LIC 621. Reporting Party did not list any specific expensive t-shirts on the form. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited Per Title 22 Regulations.

Exit interview conducted with Business Office Director, Maria Perez, and a copy of this report provided.

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: 559-243-8080
LICENSING EVALUATOR SIGNATURE:	DATE: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO ASC, 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
07/27/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230727085845

FACILITY NAME:	VISTA HARDEN RANCH		FACILITY NUMBER:	275202817
ADMINISTRATOR:	CARTER, JOY		FACILITY TYPE:	740
ADDRESS:	290 REGENCY CIRCLE		TELEPHONE:	(805) 319-7370
CITY:	SALINAS	STATE: CA	ZIP CODE:	93906
CAPACITY:	83	CENSUS:	DATE:	01/12/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Business Office Director, Maria Perez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not ensure residents had an adequate supply of oxygen

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegation listed above. LPA met with facility Business Office Director, Maria Perez and explained the purpose of today's visit.

Regarding the allegation Staff did not ensure residents had an adequate supply of oxygen. Resident 2 stated during all power outages facility staff comes to assist them with their oxygen tank. Resident 2 stated they have never been without oxygen during any power outages, and the facility staff comes right away to make sure they have sufficient oxygen supply. Resident 3 stated the staff comes immediately when there is a power outage to make sure their oxygen is taken care of, and there has never been an outage where they went without oxygen. Resident 3 stated they feel safe and confident the staff will come assist with oxygen when there is a power outage. This agency has investigated this allegation. 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.

No deficincies cited Per Title 22 Regulations.

Exit interview conducted with Maria Perez, and a copy of this report provided.

Unfounded

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: 01/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2024

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

LIC9099 (FAS) - (06/04)

Page: 3 of 3