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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700801
Report Date: 12/04/2024
Date Signed: 12/04/2024 12:09:17 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
11/27/2024 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20241127152823
FACILITY NAME:MINNESOTA HOME CAREFACILITY NUMBER:
342700801
ADMINISTRATOR:OKYERE, VERA A.FACILITY TYPE:
740
ADDRESS:7448 MINNESOTA DR.TELEPHONE:
(916) 729-9461
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:6CENSUS: 3DATE:
12/04/2024
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Vera Okyere, AdministratorTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Staff retaliating against resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to commence a complaint investigation. LPA met with staff, Lydia Awuku, and then Administrator, Vera Okyere, who was also present. LPA observed (3) residents present and a family member visit and take a resident on a short outing.

During today's inspection, LPA interviewed the Administrator and resident (R1), who is the subject of the complaint. The results are as follows:

The allegation states on November 27, 2024, at about 2 PM, the Administrator verbally informed (R1) that she would be receiving an eviction notice and stated the reason was for filing a complaint with the Department.

The Administrator stated she did tell (R1) last week she would give her "a week or more" to move out since she needs assistance from home health to transfer to a wheelchair, and home health has not been started since resident moved to the facility approximately (3) weeks ago.
*cont on 9099C-1..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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-20241127152823
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: MINNESOTA HOME CARE
FACILITY NUMBER: 342700801
VISIT DATE: 12/04/2024
NARRATIVE
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9099C-1... The Administrator stated assistance is needed from home health staff to train facility staff on how to transfer resident from their bed to their wheelchair for meals and bathing, occupational therapy and a nurse to assist with medication, since resident is diabetic.

The Administrator stated that she stated the only reason given to the resident for issuing a possible eviction was due to staff not being able to transfer resident from bed, and "never told (R1) that she was evicting (R1) due to filing a compliant" and stated "it's her right- I wouldn't do that". The Administrator stated she also told (R1) that she would be following up with the Department LPA as far as next steps prior to issuing a written notice. LPA received an email on 11/27/24 (2:53 pm) from the Administrator asking for next steps after confirming with a placement specialist (R1) does not qualify for home health services. The Administrator followed up with LPA by phone on 12/4/24 (9:33 am), requesting a call back.

The (R1) stated to LPA on 12/4/24 that she was given two reasons for a possible eviction and those reasons are for filing a complaint and because she didn't have in-home health care. (R1) confirmed she was told she had (7) days to move but has not been given a written notice yet. (R1) provided a contact for the placement specialist for additional information. (R1) stated she is able to reposition herself and staff also has been helping to reposition her every 2 hours.

LPA and Administrator contacted the placement specialist during today's inspection who confirmed (R1) is eligible for home health services and the prior social worker stopped working at the skilled nursing just after (R1) was discharged. Administrator will follow up in person today with another social worker and/or the Director of Nursing about getting home health started at the care home as soon as possible, since it was never followed through on. The Administrator will not issue a (30) day written eviction notice until it is confirmed with the Director of Nursing or the assigned social worker (R1) is eligible for home health services.

LPA advised the Administrator and (R1) that a (30) day eviction notice must be issued for a legal eviction.

Based on information obtained, LPA finds the allegation to be UNSUBSTANTIATED- a finding that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

Exit interview. Copy of report provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2