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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317005513
Report Date: 08/01/2024
Date Signed: 08/01/2024 12:06:02 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
06/11/2024 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20240611102025
FACILITY NAME:STERLING COURT AT ROSEVILLEFACILITY NUMBER:
317005513
ADMINISTRATOR:CONDIE, NATHANFACILITY TYPE:
740
ADDRESS:100 STERLING CTTELEPHONE:
(916) 786-7200
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY:128CENSUS: 71DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator, Sheri Kimbro TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Unqualified staff proviidng care to residents.
Staff are not meeting residents needs.
INVESTIGATION FINDINGS:
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On 08/01//24, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced and met with Administrator, Sheri Kimbro to deliver complaint findings into allegations listed above. LPA explained the purpose of the visit upon arrival.


The department conducted records review ,facility observations, staff and residents interviews to investigate the complaint.



**Report continued on LIC9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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
Control Number 59-AS-20240611102025
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: STERLING COURT AT ROSEVILLE
FACILITY NUMBER: 317005513
VISIT DATE: 08/01/2024
NARRATIVE
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***Report continued from 9099......

Allegations- Unqualified staff providing care to residents. Staff are not meeting residents needs. -UNFOUNDED

The Department conducted interviews with four (4) staff members, four (4) residents and reviewed record regarding these allegations cited above. Staff interviews revealed that staff have adequate training (on boarding and ongoing) regarding resident’s safe transfers techniques and for other required areas per resident’s needs and service plans and there were no issues. Staff interviews also reflected that they were feeling safe and trained regarding any residents who required 2 persons assist with transfers and for other ADLs for residents. Four (4) residents interview indicated that staff were properly trained, and residents felt safe with staff’s care without any problems. Record review indicated that facility has all required documentation regarding staff’s training's regarding Residents Transfers Techniques and other Care Provision per Requirement. Furthermore, record review indicated that staff met required qualifications and other requirements to work for RCEF per Department’s Regulations. Staff and resident’s interviews indicated that facility has adequate staffing to take care of residents and there were no concerns. Based on all this information, these allegations were found to be Unfounded.

A finding that the allegations are Unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis. No citations were issued due to this complaint investigation.

Exit interview conducted. A copy of this report has been provided to facility.

SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2