310302384-5-16-2025-59-AS-TORZ-DJWV9H-20250725161420

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 310302384
Report Date: 05/16/2025
Date Signed: 05/16/2025 03:26:43 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2025 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 59-AS-20250307114334

FACILITY NAME:	EDGEWOOD GUEST HOME		FACILITY NUMBER:	310302384
ADMINISTRATOR:	ANDRADA, T. AND R.		FACILITY TYPE:	740
ADDRESS:	1361 MARTIN DRIVE		TELEPHONE:	(530) 885-9613
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	15	CENSUS:	DATE:	05/16/2025
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Tito Andrada, Jr., Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Facility staff mismanages resident's P& I funds.
Facility staff is financially abusing residents.

INVESTIGATION FINDINGS:

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On 5/16/2025 LPA Tryon visited the facility to complete the complaint. LPA met with Tito Andrada, Jr, Administrator. LPA has reviewed P&I records, interviewed witness, staff and interviewed the resident involved.
Regarding the facility mismanaging resident's P&I Funds, at issue was the facility charging the resident for basic services such as soap and lunches at restaurants. LPA has spoken with staff and resident. Title 22 Section 87307 states in part "Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (3)(D) Hygiene items of general use such as soap and toilet paper. RP asserts that the facility should be paying for body wash and meals out or activities that are "house" activities. However, as the section states the resident may provide these items if they choose.. In speaking with staff, LPA learned that the home does provide everyone with bar soap, which meets the Title 22 Requiement. They also provide 3 meals plus snacks per day; if the client wishes to pay for fast food, for example, the regulation does not prohibit this.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

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 59-AS-20250307114334

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: EDGEWOOD GUEST HOME	FACILITY NUMBER: 310302384
	VISIT DATE: 05/16/2025

NARRATIVE

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Regarding meals, Title 22 Section 87555 (b)(1) states Where all food is provided by the facility arrangements shall be made so that each resident has available at least three meals per day. Exceptions may be allowed on weekends and holidays providing the total daily food needs are met. Not more than fifteen (15) hours shall elapse between the third and first meal. The regulation requires that food be available. Residents do have the right to choose restaurant or other food of their liking if they desire. The home appears to be in general compliance with this requirement, as they have food available, and not all residents need to choose to buy restaurant food, etc. and can have food provided by the home if they choose. The Regional Center does have guidelines/best practices for Personal and Incidental Funds; however, Community Care Licensing follows the requirements of Title 22 and the Health and Safety Code, so Best Practices do not fall under the scope of CCL. Therefore, the allegation is UNFOUNDED.

At this time, regarding resident R1, R1 has a bank card containing funds. R1 is completely in charge of the spending money in the account, and is able to buy what is desired. Staff ask what R1 wants or wants to do, and the staff transports R1 to purchase if needed, etc. This appears to be going smoothly.

Regarding the allegation that Facility staff is financially abusing residents. LPA has reviewed records, spoken with staff and residents. LPA finds no evidence that the home is in any way financially abusing the residents The home appears to be very diligent in keeping records of individual residents Personal and Incidental funds, obtaining and keeping receipts/proof of purchase, etc. Allegation is UNFOUNDED.

A finding that an allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

No deficiencies were cited at this visit.

Exit interview conducted.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

LIC9099 (FAS) - (06/04)

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