317005671-10-10-2024-59-AS-KHOS-DAALJS-20241022084825

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317005671
Report Date: 10/10/2024
Date Signed: 10/10/2024 01:59:58 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
07/16/2024 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20240716122825

FACILITY NAME:	ALMOND GARDENS		FACILITY NUMBER:	317005671
ADMINISTRATOR:	NISHA PATEL		FACILITY TYPE:	740
ADDRESS:	174 ALMOND STREET		TELEPHONE:	(530) 885-5678
CITY:	AUBURN	STATE: CA	ZIP CODE:	95603
CAPACITY:	10	CENSUS: 6	DATE:	10/10/2024
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Nisha Patel and Jennifer Clark		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Unqualified staff is allowed to dispense medication to residents
Staff do not properly secure residents’ medication

INVESTIGATION FINDINGS:

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LPA Hiratsuka delivered the results of this investigation at The Villa 317005672, with the permission of Licensee Nishal Patel and Administrator Jennifer Clark. Licensee owns both facilities.

LPA Hiratsuka conducted the investigation into the allegation above. LPA reviewed staff schedule, interviewed staff, and toured the facility on 08/14/2024, and today. LPA did not observe any medications unattended or unlocked. Staff stated they do leave medication unattended nor have they seen any. Staff schedule shows that staff at this building have had the required medication training.

Based on the interviews, review of the staff schedule, and tour, the allegations are unfounded.

“This agency has investigated the complaints alleging; Staff do not properly secure residents’ medications and Staff do not properly secure residents’ medication We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis."

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Kerry Hiratsuka	TELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024

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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