312700251-1-25-2024-59-AS-MSEY-CZXMEB-20240129083227

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 312700251
Report Date: 01/25/2024
Date Signed: 01/25/2024 01:06:53 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
12/29/2023 and conducted by Evaluator Melissa Parks

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20231229085437

FACILITY NAME:	BROOKFIELD HOME CARE		FACILITY NUMBER:	312700251
ADMINISTRATOR:	MCGILL, RAMONA		FACILITY TYPE:	740
ADDRESS:	5342 BROOKFIELD CIRCLE		TELEPHONE:	(916) 415-1012
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95677
CAPACITY:	6	CENSUS: 4	DATE:	01/25/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Vivien Jighere, staff		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff allow children to hit residents in care
Staff allow children to harass residents in care

INVESTIGATION FINDINGS:

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LPA Parks arrived on Thursday January 25, 2024, to conclude a complaint investigation regarding the above allegations.

LPA met with staff Vivien Jighere and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator, staff, residents, and family members. The result of the investigation is as follows: Interviews revealed that while the Licensee’s children visit at times, they have never been observed to interfere with resident care. Additionally, interviews acknowledged that no one has witnessed these children hitting or harassing residents in care. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. A copy of this report was emailed to the Administrator

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Melissa Parks	TELEPHONE: (559) 580-5423
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

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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