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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317005531
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:53:45 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
01/04/2024 and conducted by Evaluator Todd Tryon
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20240104155414
FACILITY NAME:SIERRA RIDGE SENIOR LIVINGFACILITY NUMBER:
317005531
ADMINISTRATOR:JENNIFER FUSTONFACILITY TYPE:
740
ADDRESS:3265 BLUE OAKS DRTELEPHONE:
(530) 887-8600
CITY:AUBURNSTATE: CAZIP CODE:
95602
CAPACITY:65CENSUS: 44DATE:
03/07/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jennifer Fuston, Executive DirectorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff did not provide adequate food service
Staff did not meet residents’ grooming needs
Facility is unclean
Staff did not meet resident’s laundry needs
Staff did not provide activities for residents
Staff left residents unattended for extended periods
Staff did not meet resident’s incontinence needs
Staff did not meet residents’ hygiene needs
Staff overcharged resident
INVESTIGATION FINDINGS:
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On 3/7/2024 LPA Tryon visited the facility to complete the complaint. LPA met with Executive Director Jennifer Fuston.
At the visit today, LPA interviewed 3 residents.
During the course of this complaint investigation LPA has interviewed residents, staff, ED. LPA toured the facility on multiple occassions; viewed residents eating lunch twice, requested and obtained relevant documents.
Regarding the allegation that staff did not provide adequate food service, LPA viewed 2 lunch meals, watched resident and staff interaction, viewed food supplies and food that was served; inteviewed residents and staff. LPA found there to be adequate staff present to assist residents to eat if needed. LPA noted several visitors/family members assisting a few residents. LPA learned that staff tend to have the residents who need feeding assistance sit at the same table, so they are available to help several people. LPA noted that the large majority of the residents appear to be able to eat independently (although they may need assistance with cutting food, etc.) Staff attempt to encourage residents to be as independent as possible.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
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 4
Control Number 59-AS-20240104155414
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: SIERRA RIDGE SENIOR LIVING
FACILITY NUMBER: 317005531
VISIT DATE: 03/07/2024
NARRATIVE
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LPA cannot say what may have taken place over 3 months ago, but at the present and from what LPA has been able to observe, there appears to be adequate staff to assist, food appears to be of good quality and quantity; and it is reported to be served to residents warm. LPA did note that there are several residents who do not sit still for long periods and need to be continually redirected to sit and eat, but in large part meals appear to go okay. Allegation is found to be UNFOUNDED at this time.

Regarding the allegation that Staff did not meet residents’ grooming needs, LPA has viewed residents on several occasions, has spoken with residents and staff. Residents do appear to be groomed and clean. Staff related that although there may have been times in the past that the facility had trouble finding new staff, that the workers present worked hard to meet resident needs; and the facility is fully staffed at this time. Allegation is UNFOUNDED.

Regarding the allegation that Facility is unclean, LPA has toured the entire facility on 3 occasions, viewed multiple resident rooms (different rooms on each occasion); spoken with staff and residents, reviewed cleaning schedule and daily reports of rooms cleaned. LPA noted that the facility is clean and neat, rooms were clean, beds were mostly made at the time of visits. The facility has just been undergoing a complete interior renovation, which is almost complete at this time. The facility is appearing as new and clean, and staff appear to be keeping up with the cleaning tasks. LPA learned that cleaning staff (there are 2 full-time housekeeping staff at this time) follow a set schedule of when to clean rooms. They also get called away to do extra cleaning when there are accidents, spills, etc. Also, care staff related that they pitch in to clean when needed. Allegation is found to be UNFOUNDED.

Regarding the allegation that Staff did not meet resident’s laundry needs, as stated above LPA has toured the facility on 3 different occasions, viewed rooms, laundry room, interviewed residents and staff. LPA learned that staff is able to keep ahead of laundry at this time. Both housekeeping staff and caregivers may do laundry. LPA did not note any unreasonable piles of dirty laundry in rooms/closets. Allegation is UNFOUNDED.

SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 59-AS-20240104155414
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: SIERRA RIDGE SENIOR LIVING
FACILITY NUMBER: 317005531
VISIT DATE: 03/07/2024
NARRATIVE
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Regarding the allegation that Staff did not provide activities for residents, LPA has toured the building, observed residents, interviewed residents and staff. LPA learned that there was a time when the activities director was promoted to a new position, leaving the position open, with a newly hired assistant present. Staff related that they still provided residents with activities. The facility now has an acting activities person. Residents are given various things to do such as puzzles, games, playing simple games such as a table balloon game, doing chair exercises, etc. The facility also has entertainment such as piano player, singer, etc. Allegation is UNFOUNDED.

Regarding the allegation that Staff left residents unattended for extended periods, LPA interviewed staff and residents and viewed residents. This allegation was related to residents staying in the dining room after meals. LPA learned that most activities take place in the dining room, as it is central in the facility and provides the biggest space for activities. Since that is where activities take place, residents may stay in the dining room to take part; and it appears to be where residents like to congregate. There appeared to be multiple staff working in and around that area so that residents are attended. Also, residents are free to walk around the facility halls, etc. if they choose; and there is no requirement for staff to have "eyes on" each resident at all times. Potentially hazardous areas are secured (such as kitchen, cleaners, etc.). The doors to the outside are "delayed egress" so that if someone attempts to go out, staff is immediately notified. Residents are also able to be alone in their own rooms for privacy. Therefore, the allegation that residents are left unattended is UNFOUNDED.

Regarding the allegation that Staff did not meet resident’s incontinence needs, LPA has visited and toured the facility, spoken with residents and staff. LPA learned that residents are toileted/changed on a schedule, some every 2 hours, some every 4 depending on individual needs and care plans. They are also changed as needed; and often given extra showers if needed. LPA noted that residents appeared clean, did not note any odors anywhere in the building, etc. Allegation is UNFOUNDED.

Regarding the allegation that Staff did not meet residents’ hygiene needs, LPA toured facility, spoke with residents and staff. LPA learned that residents are showered on a set schedule at least twice a week. Some residents are bathed/cleaned more frequently depending on need. Residents do sometimes refuse to shower, as it their right; they can refuse. If residents refuse, staff do make multiple attempts at various times to get the resident to shower. If a particular person does not receive a shower at the scheduled time, attempts are made on the next day, etc. Again residents appeared clean and LPA noted no odors anywhere.
SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 59-AS-20240104155414
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: SIERRA RIDGE SENIOR LIVING
FACILITY NUMBER: 317005531
VISIT DATE: 03/07/2024
NARRATIVE
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Allegation is UNFOUNDED.

Regarding the allegation that Staff overcharged resident, LPA learned that this allegation stemmed from a misunderstanding between the responsible person of a particular resident, the facility and an outside funding source that paid for placement. Apparently the responsible person believed a payment had been made and the facility did not credit it. When the situation was looked into, the payment had never been received from the outside source. The payment was then made and the matter was cleared up. Allegation is UNFOUNDED.

A finding of Unfounded means that the allegation is false, could not have occurred, and/or is without a reasonable basis.

No deficiencies were cited related to this complaint. Exit interview conducted.

SUPERVISOR'S NAME: Troy OrdonezTELEPHONE: (916) 263-4832
LICENSING EVALUATOR NAME: Todd TryonTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4