315001984-5-8-2024-59-AS-LMUZ-D59NRY-20240514104218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315001984
Report Date: 05/08/2024
Date Signed: 05/08/2024 03:28:25 PM

Unsubstantiated

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
03/06/2024 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 59-AS-20240306105105

FACILITY NAME:	BRIGHT HORIZONS CARE HOME		FACILITY NUMBER:	315001984
ADMINISTRATOR:	BUCOVATI, SHEILA		FACILITY TYPE:	740
ADDRESS:	232 NERISSA COURT		TELEPHONE:	(916) 746-0144
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	6	CENSUS: 5	DATE:	05/08/2024
		UNANNOUNCED	TIME BEGAN:	03:13 PM
MET WITH:	Administrator- Florin Bucovati		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Staff hit a resident
Staff spoke inappropriately to resident

INVESTIGATION FINDINGS:

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On 05/08/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 03/06/24. LPA met with Administrator Florin Bucovati and explained the purpose of the visit.

During the course of the investigation, the Department conducted interviews and obtained pertinent documents relevant to the complaint investigation.

Please continue to LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne Ratajczak	TELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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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Control Number 59-AS-20240306105105

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: BRIGHT HORIZONS CARE HOME	FACILITY NUMBER: 315001984
	VISIT DATE: 05/08/2024

NARRATIVE

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Allegation: Staff hit a resident. -Unsubstantiated
LPA conducted interviews with residents. Interview with Resident #1 (R1) revealed that they have not had problems with any of the staff at the facility. R1 cannot recall working with Staff #1(S1) and is unsure if they have worked with S1. During the course of the investigation LPA was not able to get in touch with S1. LPA interviewed other residents living in the facility and all residents stated that they have never seen a staff member hit another resident. Additionally, LPA interviewed staff. Staff #3 (S3) stated they have not witnessed other staff being aggressive towards the residents in care.

Allegation: Staff spoke inappropriately to resident. -Unsubstantiated
During the department’s investigation, LPA conducted interviews with staff and residents. Resident interviews revealed that they have never had staff at the facility yell or talk to them in an inappropriate manner. Interview with staff indicated that they have never heard another caregiver speak inappropriately to residents in care. Resident interviews revealed that they all enjoy living at the facility. During visit LPA observed staff to have a positive interaction with residents in care.

Based on this information, these allegation are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.

Exit interview conducted and a copy of the report and appeal rights were left at the facility.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne Ratajczak	TELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC9099 (FAS) - (06/04)

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