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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317005468
Report Date: 08/15/2022
Date Signed: 08/15/2022 12:22:51 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/05/2022 and conducted by Evaluator Todd Tryon
COMPLAINT CONTROL NUMBER: 25-AS-20220505090142
FACILITY NAME:BROOKDALE AUBURNFACILITY NUMBER:
317005468
ADMINISTRATOR:MORGAN WHINERYFACILITY TYPE:
740
ADDRESS:11550 EDUCATION STTELEPHONE:
(530) 888-8847
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:110CENSUS: DATE:
08/15/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff member inappropriately touches female residents in care.
INVESTIGATION FINDINGS:
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On 8/15/2022 LPA Tryon arrived at the facility to deliver complaint findings. LPA met with Executive Director Morgan Whinery.
The Department has interviewed witnesses, residents, staff, Executive Director; obtained and reviewed documentation including incident reports, medical assessments, care plans, daily notes, staff schedules. Through interview of multiple witnesses and the accused staff, the Department has found that male staff S1 did on several occasions reach his hand down into female residents undergarments with his hand to check to see if the resident was wet and/or needed changing, as well as putting his face close to the crotch area of residents’ pants to smell if they were wet. Therefore, the allegation that staff member inappropriately touches female residents in care is SUBSTANTIATED.
A finding that an allegation is Substantiated means that the preponderance of evidence standard has been met.
The following deficiency is cited as per Title 22 Regulations and the Health and Safety Code.
Exit interview conducted, appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 208-7709
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Citations on this Visit Report are Under Appeal!

Control Number 25-AS-20220505090142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: BROOKDALE AUBURN
FACILITY NUMBER: 317005468
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
08/16/2022
Section Cited
CCR
874681(a)(3)
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.Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination.
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.The facility will ensure that the safety, privacy and dignity of all residents is preserved at all times.
The facility will ensure that staff undergo training regarding appropriate care and supervision of residents to ensure safety, privacy and dignity. The facility
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This requirement was not met as evidenced by: Through interview of witnesses, residents and staff, the Department learned that staff S1 on at least one occasion did put his hand into the back of the pants of a female resident to check to see if she was dry or wet.
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will submit a plan of training to CCL by 8/16/2022.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 208-7709
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2