315002982-7-19-2023-59-AS-KHOS-CUXJA8-20230822065218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315002982
Report Date: 07/19/2023
Date Signed: 07/19/2023 12:37:01 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
05/24/2023 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 59-AS-20230524153634

FACILITY NAME:	STONEBROOK LOVING HEARTS		FACILITY NUMBER:	315002982
ADMINISTRATOR:	DEMYAN, MICHAEL		FACILITY TYPE:	740
ADDRESS:	11585 STONEBROOK DR		TELEPHONE:	(916) 903-6459
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	6	CENSUS: 5	DATE:	07/19/2023
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Priscilla McIntyre, Staff; Charmayne, Staff		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Facility is denying residents personal rights
Facility is overmedicating resident
Facility refusing to turn on AC during hot weather

INVESTIGATION FINDINGS:

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On 7/19/2023 LPA Tryon visited the facility to complete the complaint. LPA met with staff Priscilla McIntyre. There were 2 staff on duty during the visit today. LPA also spoke by phone with licensee/Administrator Tatiana Magurean.
Regarding the allegation that the facility is denying residents personal rights, this was in reference to an allegation that resident R1 was being denied visitors. LPA has spoken with witnesses, staff, residents, reviewed documentation. It appears that there was some early discussion about responsible party not wanting resident to have visitors for whatever reason. However, it appears that the facility staff were very knowledgeable that resident had the right to have visitors if he wanted, and visitation was never denied to anyone. Allegation is UNFOUNDED.
Regarding the allegation that facility is overmedicating resident, LPA has spoken with witnesses, staff, residents, reviewed documentation. LPA finds no evidence that resident R1 was being overmedicated in any way. Allegation is UNFOUNDED.
Regarding the allegation that the facility refused to turn on AC during hot weather, LPA has spoken with witnesses, staff, residents, and visited the facility on 3 occasions since opening the complaint. Each time

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd Tryon	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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-20230524153634

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: STONEBROOK LOVING HEARTS	FACILITY NUMBER: 315002982
	VISIT DATE: 07/19/2023

NARRATIVE

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LPA visited the air conditioning was running and the house was comfortable. Visits were on relatively hot days and the temperature was at an acceptable level and LPA could hear the system running. Residents were asked and said they were comfortable. It should be noted that as individuals age they seem to frequently feel more comfortable with less a/c; they seem to more often report being "colder" than younger people. Although visitors or staff may think the house is too warm, the residents may be very comfortable for residents. Staff report that residents complain of being cold if the air is turned on too cool. In addition to this, the house was at a temperature that is within acceptable range as per Title 22 Regulations. As per Title 22, Section 87303(b)(2) Maintenance and Operation: The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. During visits LPA found the temperature to be at 80 degrees F, within the above range. Therefore the allegation is UNFOUNDED.

A finding of UNFOUNDED means that the allegation is False, could not have happened and/or is without a reasonable basis.

Appeal Rights provided. Exit interview conducted.

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd Tryon	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

LIC9099 (FAS) - (06/04)

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