335530032-2-20-2024-56-AS-KCLS-D2PW57-20240222155837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530032
Report Date: 02/20/2024
Date Signed: 02/20/2024 03:53:22 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/15/2024 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240215113910

FACILITY NAME:	SAVANT OF JURUPA VALLEY		FACILITY NUMBER:	335530032
ADMINISTRATOR:	PATRICK L. MCADOO-MORTON		FACILITY TYPE:	740
ADDRESS:	5881 EL PALOMINO DRIVE		TELEPHONE:	(951) 683-3333
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92509
CAPACITY:	197	CENSUS: 150	DATE:	02/20/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Patrick McAdoo-Morton, Executive Director		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility do not ensure that resident hygiene needs are met.
Facility did not follow resident modified food diet.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javier Prieto arrive to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with Executive Director McAdoo-Morton and explained the elements of the complaint.

Regarding the allegation that the facility do not ensure that resident hygiene needs are met; LPA Prieto interviewed resident #1 (R1), in question, who stated that she was offered bathing services by staff and additional bathing services by family members. LPA obtained bathing schedule for R1. R1 believed that the facility would bath R1 everyday for as long as wanted. R1's documentation is identified as independent.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier Prieto	TELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024

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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Control Number 56-AS-20240215113910

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: SAVANT OF JURUPA VALLEY	FACILITY NUMBER: 335530032
	VISIT DATE: 02/20/2024

NARRATIVE

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Regarding the allegation that the facility did not follow resident modified food diet; LPA interviewed R1 who stated the vegetarian diet is a matter of choice. Documentation for R1 was obtained and shows that meals and nutrition care plan shows R1 as independent. Staff has been aware of R1's preference and added additional vegetarian meals to the "always available menu".

Based on the information obtained there is not enough evidence that the facility do not ensure that resident hygiene needs are met and that facility did not follow resident modified food diet. Therefore, the allegations are deemed UNSUBSTANTIATED at this time.

This report was signed by LPA Prieto and Executive Director McAdoo-Morton and a copy of this report was left with the facility.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Javier Prieto	TELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024

LIC9099 (FAS) - (06/04)

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