342700525-9-19-2023-59-AS-KHOS-CW2HZA-20230926063801

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700525
Report Date: 09/19/2023
Date Signed: 09/19/2023 10:44:58 AM

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
09/15/2023 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20230915164613

FACILITY NAME:	ALMOND HEIGHTS		FACILITY NUMBER:	342700525
ADMINISTRATOR:	MACDONALD, STEPHEN		FACILITY TYPE:	740
ADDRESS:	8685 GREENBACK LN		TELEPHONE:	(916) 542-7988
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	145	CENSUS: 111	DATE:	09/19/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Stephen Macdonald		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility is in disrepair.
Staff did not meet resident's needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 09/19/23 to do complaint investigation for above allegations. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened by facility staff upon entry.

The department conducted records review ,facility observations and interviews to investigate the complaint.

**Report continued on LIC9099-C**

Unsubstantiated

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: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

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-20230915164613

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: ALMOND HEIGHTS	FACILITY NUMBER: 342700525
	VISIT DATE: 09/19/2023

NARRATIVE

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***Report continued from LIC9099...........

Allegation: Facility is in despair. -Unsubstantiated.

On 09/19/23, LPA Bains conducted a tour at the facility. LPA observed the facility to be clean, safe, sanitary, and in good repair. LPA Bains interviewed facility staff (S1,S2, S3) who indicated facility is in good repair. S1 stated facility has a maintenance director who works at the community as Full Time . S1 indicated if something needs to be repaired at the facility with high importance,the maintenance person would fix it right away. S1 also indicated that all other work orders were took care in timely manner without any issues. According to Maintenance Director, he is on call 24/7 and facility can reach him for any emergency issues. The Maintenance Director stated the only time it may take longer than a day to repair is if he needs to order parts. Furthermore, facility has opening for 1 Full Time maintenance assistant position which facility is actively looking for now. Residents interviews indicated that there were no issues with facility's housekeeping and maintenance services, therefore this allegation is Unsubstantiated.

Allegation: Staff did not meet residents’ needs. -Unsubstantiated

The department conducted staff and residents' interviews, reviewed records to investigate the allegation. During residents’ interview, residents stated that staff respond in a timely manner, however sometimes there is a delay in response due to staff assisting other resident’s needs. Interviews and record review indicated that resident’s ADL’s which includes residents showering, incontinence and care needs are met as required and documented accordingly. Residents’ interviews indicated that staff were providing care in a professional manner and did not express any concerns. During interviews with facility staff and residents, it was revealed that facility is providing food with different menu choices on daily basis and there were no concerns. During department visits, department observed that residents appeared to be well groomed and in good care. Furthermore, LPA observed facility found to be clean and odor free during visit on 09/19/23 and residents interviews indicated no issues with housekeeping at the facility, therefore this allegation is found to be UNSUBSTANTIATED.

Due to the information above, LPA finds all the allegations to be UNSUBSTANTIATED meaning 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 conducted with administrator and copy of report was provided.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder Bains	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2023

LIC9099 (FAS) - (06/04)

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