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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700525
Report Date: 12/19/2023
Date Signed: 12/19/2023 10:14:16 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
11/16/2023 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20231116093520
FACILITY NAME:ALMOND HEIGHTSFACILITY NUMBER:
342700525
ADMINISTRATOR:MACDONALD, STEPHENFACILITY TYPE:
740
ADDRESS:8685 GREENBACK LNTELEPHONE:
(916) 542-7988
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:145CENSUS: 111DATE:
12/19/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Stephen MacdonaldTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Licensee is not ensuring that resident(s) receive services as agreed to in the Admissions Agreement.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 12/19/23 to do complaint investigation and to deliver complaint findings for above allegation. LPA met with administrator Stephen Macdonald and explained the purpose of the visit. LPA was screened 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 MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
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 2
Control Number 59-AS-20231116093520
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: 12/19/2023
NARRATIVE
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**Report continued from 9099........

Allegation- Licensee is not ensuring that resident(s) receive services as agreed to in the Admissions Agreement.- UNSUBSTANTIATED

LPA conducted residents and staff interviews and reviewed records to investigate this allegation. LPA observed laundry being done during facility visit on 11/20/2023 and on 12/19/23 .LPA interviewed 4 residents and all, but 1 stated their linens get cleaned in timely manner. Record review indicated that the facility has documentation about residents’ schedule for laundry and housekeeping on a weekly basis, however schedule day can change to another day due to facility’s staffing needs. Based on interviews conducted, 3 residents stated that all laundry services are conducted by facility staff and staff wash resident’s sheets/linens at least once a week. 3 Residents interviewed stated that staff have never had any issues changing and washing their bed sheets more than once a week. Staff interviews indicated that there’s a schedule for laundry services for residents; however, staff would provide laundry services for those who need it and that is not scheduled. Based on this information, this allegation was found to be UNSUBSTANTIATED.

A finding that the complaint allegations is UNSUBSTANTIATED means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit meeting conducted. A copy of this report has been provided to facility.



SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2