342700333-2-7-2024-59-AS-MSEY-D2PRLC-20240222120651

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700333
Report Date: 02/07/2024
Date Signed: 02/07/2024 03:15:35 PM

Unsubstantiated

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
06/29/2023 and conducted by Evaluator Kevin Mknelly

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20230629125021

FACILITY NAME:	FAIR OAKS ESTATES INC		FACILITY NUMBER:	342700333
ADMINISTRATOR:	SAROAY, PARVEEN		FACILITY TYPE:	740
ADDRESS:	8845 FAIR OAKS BLVD		TELEPHONE:	(916) 944-2077
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	106	CENSUS: 101	DATE:	02/07/2024
		UNANNOUNCED	TIME BEGAN:	02:37 PM
MET WITH:	Parveen Saroay		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Residents smoke illegal drugs inside of the facility
Staff serve residents contaminated foods
Neglect and lack of care and supervision resulting in resident sexually assaulting other residents and staff.

INVESTIGATION FINDINGS:

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On 2/7/24, Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Administrator.

The department conducted records review and extensive interviews.
The department is unable to find and or meet the preponderance, per policy.

The department interviewed several staff members, all staff denied witnessing a resident (R1) smoke illegal drugs while on facility property. Staff have witnessed R1 smoke in designated smoking areas. Staff denied witnessing any sort of behaviors from R1, in which a person under the influence of illegal drugs would demonstrate.
The department interviewed R1. R1 denied smoking illegal drugs on facility property. R1 stated that they only smoke in designated smoking areas of the facility.
The department interviewed several residents, all residents interviewed denied witnessing R1 smoke any illegal drugs.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin Mknelly	TELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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 59-AS-20230629125021

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: FAIR OAKS ESTATES INC	FACILITY NUMBER: 342700333
	VISIT DATE: 02/07/2024

NARRATIVE

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While the department had previously investigated, from 6/9/23- 8/10/23, and issued citations for food storage and kitchen cleanliness on 8/10/23, there was not additional information found that the deficiencies resulted in contaminated foods being served to or consumed by residents.

The department interviewed several staff members regarding R2 and the allegation of their sexually assaulting others. This allegation was previously investigated 6/1/23- 8/1/23. That investigation resulted in a citation for residents’ personal rights having been violated by R2. Subsequent from the previous investigation until the conclusion of this investigation, a new care plan has been implemented to have R1 have reduced physical proximity access to other residents resulting in R2 no longer being able to reach out and grab people, the inappropriate behaviors have completely stopped.
Thus, although the incidents did occur in the past, the department could not find an incident between 8/1/23 and 1/16/24 in which the staff was neglectful or failing to supervise R2 which resulted in R2 touching another resident. Therefore, the allegation is Unsubstantiated.

As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview with administrator report copy provided.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Kevin Mknelly	TELEPHONE: (209) 814-1925
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

LIC9099 (FAS) - (06/04)

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