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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700963
Report Date: 05/23/2024
Date Signed: 05/23/2024 11:24:35 AM

Unfounded


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
04/10/2024 and conducted by Evaluator Cheyenne Ratajczak
COMPLAINT CONTROL NUMBER: 59-AS-20240410144827
FACILITY NAME:OARS AT GREENBACK LANE, THEFACILITY NUMBER:
342700963
ADMINISTRATOR:CHRISTAL ANDERSONFACILITY TYPE:
740
ADDRESS:6550 GREENBACK LANETELEPHONE:
(916) 212-0388
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95621
CAPACITY:57CENSUS: 46DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Dining Services Director- Mikah MontoyaTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility staff are not changing residents in a timely manner
Facility staff handle residents in a rough manner
Facility staff do not provide adequate food service to residents
Facility staff do not treat residents with dignity or respect
INVESTIGATION FINDINGS:
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On 05/23/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings to a complaint the Department received on 04/10/24. LPA met with Dining Services Director, Mikah Montoya and explained the purpose of the visit.

During the course of this investigation, the Department conducted interviews and obtained pertinent documents relevant to the investigation.

Please continue to LIC 9099-C...
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne RatajczakTELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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-20240410144827
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: OARS AT GREENBACK LANE, THE
FACILITY NUMBER: 342700963
VISIT DATE: 05/23/2024
NARRATIVE
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Facility staff are not changing residents in a timely manner. - Unfounded
LPA conducted interviews with facility staff. Staff interviews indicated that residents’ incontinence needs are being met every two hours. On an average shift staff are assisting residents three (3) times per their shift and then as needed. For AM shift staff are assisting residents with their incontinent needs, staff generally assist residents after meals and snack times and as needed. For PM shift staff assist residents with their incontinent needs, staff check on residents in their rooms and assist them with incontinent needs after meals and snack time, before bed and as needed.
Facility staff handle residents in a rough manner. - Unfounded
LPA conducted interviews with facility staff and a facility observation was done to investigate this allegation. Interviews indicated there has been no witnessed issues with staff members handling residents in a rough manner. During LPA visit on 04/15/24 LPA conducted a tour of the facility. LPA observed staff to be engaging with residents and when assisting them it was in an appropriate manner. During the investigation process there was no information given indicating that facility staff handled residents in a rough manner.
Facility staff do not provide adequate food service to residents. -Unfounded
During the course of the investigation, LPA conducted interviews and obtained the facility menu. The facility is on a five (5) week menu cycle. Items within the menu changes depending on the time of year. If a resident has certain dietary needs, all kitchen staff are aware. Mealtimes are at 8AM, 12PM and 5PM. Snack times are at 10AM, 2PM and 8 PM. If residents are hungry during anytime between mealtimes or snack time, additional snacks are made available to residents. Additionally, interviews indicated there are some residents who need assistance with feeding. Staff will either fully assist those residents or do hand over hand. Interviews further revealed that sometimes residents will ask for something not on the menu. Kitchen staff will attempt to accommodate food requests.
Facility staff do not treat residents with dignity or respect. -Unfounded
LPA conducted interviews with facility staff. Interviews indicated there has been no witnessed issues with staff members treating residents without dignity and respect. During LPA visit on 04/15/24 LPA conducted a tour of the facility. While on the tour LPA observed facility staff to be attentive to residents needs and treating them with dignity and respect. LPA also observed some residents on the first floor to be engaged in a game at a table with a staff member.

Based on information obtained through interviews, the Department finds the allegation to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.
Exit interview conducted and a copy of the report and appeal rights were left at the facility.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne RatajczakTELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
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