306004751-9-7-2022-22-AS-LADS-CKUMPV-20221104094747

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004751
Report Date: 09/07/2022
Date Signed: 09/07/2022 03:05:47 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/22/2022 and conducted by Evaluator Celine DePerio

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220822155351

FACILITY NAME:	CRESCENT LANDING AT FULLERTON MEMORY CARE		FACILITY NUMBER:	306004751
ADMINISTRATOR:	SHERYL MCCASKILL		FACILITY TYPE:	740
ADDRESS:	1510 E. COMMONWEALTH AVENUE		TELEPHONE:	(714) 441-2636
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92831
CAPACITY:	72	CENSUS: 25	DATE:	09/07/2022
		UNANNOUNCED	TIME BEGAN:	02:23 PM
MET WITH:	Facility Administrator - Sheryl Mccaskill		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Administrator interfered with the resident's right to have visitors.
Staff did not safeguard the resident's personal property.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to this facility. LPA met with Administrator (AD) Sheryl Mccaskill and stated the purpose of this visit which was to deliver the final findings for the complaint received on 8/22/22 against this facility. For this visit, there are a total of 25 residents in care of which 13 are on hospice and a total of 8 staff members on duty.

This agency has investigated the complaint alleging that administrator interfered with the resident's right to have visitors. LPA De Perio reviewed facility documentation, and interviewed staff and resident’s Power of Attorney, and 6 out of the 6 interviews conducted all stated that the administrator does not interfere with residents having visitors. It was stated via the Admission Agreement and per interviews conducted, that if a resident is residing in a shared room and has a roommate, facility and staff are to be aware and respectful of both residents and provide alternatives for visitation areas. 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. We have therefore dismissed the complaint.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Celine DePerio	TELEPHONE: 714-703-2854
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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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Control Number 22-AS-20220822155351

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: CRESCENT LANDING AT FULLERTON MEMORY CARE	FACILITY NUMBER: 306004751
	VISIT DATE: 09/07/2022

NARRATIVE

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This agency has investigated the complaint alleging that staff did not safeguard the resident's personal property. LPA De Perio conducted interviews with facility staff, and Power of Attorney and 6 out of the 6 interviews conducted all stated that the facility safeguards resident’s personal property. 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. We have therefore dismissed the complaint.

LPA De Perio conducted an exit interview with AD Mccaskill and copy of this report was left in this facility.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3812
LICENSING EVALUATOR NAME: Celine DePerio	TELEPHONE: 714-703-2854
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC9099 (FAS) - (06/04)

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