317005513-12-17-2024-59-AS-KHOS-DCFJYV-20241230062833

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317005513
Report Date: 12/17/2024
Date Signed: 12/17/2024 11:45:16 AM

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
11/22/2024 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20241122083820

FACILITY NAME:	STERLING COURT AT ROSEVILLE		FACILITY NUMBER:	317005513
ADMINISTRATOR:	CONDIE, NATHAN		FACILITY TYPE:	740
ADDRESS:	100 STERLING CT		TELEPHONE:	(916) 786-7200
CITY:	ROSEVILLE	STATE: CA	ZIP CODE:	95661
CAPACITY:	128	CENSUS: 75	DATE:	12/17/2024
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Administrator, Sheri Kimbro		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff are not properly trained .
Staff are not prepared on how to execute an emergency disaster plan.
Staff deny residents access to the facility.
Staff did not properly safeguard the facility grounds.
Staff did not conduct timely assessments for the residents.

INVESTIGATION FINDINGS:

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On 12/17//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 Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024

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 3

Control Number 59-AS-20241122083820

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: 12/17/2024

NARRATIVE

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***Report continued from 9099.......
Allegation- Staff are not properly trained.-UNFOUNDED

The Department conducted interviews with five (5) staff members , five (5) residents and reviewed record regarding the allegations cited above. Staff interviews revealed that staff have adequate training (on boarding and ongoing) regarding resident’s care needs and there were no issues. Staff interviews also reflected that they were trained to take care of residents per their needs and service plans. Five (5) 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 resident’s care needs and other care provision per requirement, therefore this allegation was found to be Unfounded.

Allegation- Staff are not prepared on how to execute an emergency disaster plan. .-UNFOUNDED

The Department conducted interviews with five (5) staff members, five (5) residents and reviewed record regarding the allegations cited above. Record review reflected that facility has Emergency Disaster Plan (LIC610D) per Requirement and facility was training with on boarding staff and on-going basis without any issues. Additionally, facility was conducting fire and disaster drills per Department’s guidelines with proper record keeping. Five staff interviews indicated that they were trained and prepared to face an emergency and did not express any problems with training in this area. Five resident’s interviews reflected that residents felt safe living there and facility was prepared to face an emergency if arises. Based on gathered information, this allegation was found to be unfounded.

Allegation- Staff deny residents access to the facility. .-UNFOUNDED

The Department conducted interviews with five (5) staff members and five (5) residents regarding the allegations cited above. Residents interviews indicated that facility was not denying residents access to facility in any manner. Per residents statements, it was noted that facility has a designated staff who manage the front door from 8am-7pm daily and after hours, residents, visitors have to call facility phone so someone can open the front door to let them in which took sometimes 10-15 minutes (maximum) if staff were busy on floor. Staff interviews indicated that facility never deny any residents access to facility and try their best to open the front door (after hours) to let the residents or visitors in but get delayed sometimes if they are occupied with floor tasks. Based on gathered information, this allegation was found to be unfounded.

(Report continued.....)

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 59-AS-20241122083820

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: 12/17/2024

NARRATIVE

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( Report continued from 9099......)

Allegation- Staff did not properly safeguard the facility grounds. .-UNFOUNDED

The Department conducted interviews with five (5) staff members, five (5) residents and reviewed record regarding the allegations cited above. Record review reflected that facility has Emergency Disaster Plan (LIC610D) per Requirement and facility was training with on boarding staff and on-going basis without any issues. Additionally, facility was conducting fire and disaster drills per Department’s guidelines with proper record keeping. Five staff interviews indicated that they were trained and prepared to face an emergency and did not express any problems with training in this area. Five resident’s interviews reflected that residents felt safe living there and facility was prepared to face an emergency if arises. This allegation referred to a issue which happened last week of September 2024 on a weekend around 7pm, when there was water leak from kitchen area towards dining room and Manager of the Day(MOD) notified maintenance manager regarding that issue and it was resolved within few hours without any problems. Based on gathered information, this allegation was found to be unfounded.

Allegation- Staff did not conduct timely assessments for the residents. .-UNFOUNDED

The Department conducted interviews with five (5) staff members, five (5) residents and reviewed record regarding the allegations cited above. Record review for five residents files indicated that facility kept all residents required documentation in their files per regulations without any issues. Five residents interviews reflected that staff were aware about their care needs and there were no issues to address. Five staff interviews indicated that facility was conducting residents assessments in timely way and there were no problems in that area. Staff interviews reflected that they are aware about residents care needs per their needs and service plans and providing those services accordingly. Based on gathered information, this allegation was 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 Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024

LIC9099 (FAS) - (06/04)

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