342701122-12-6-2023-27-AS-KHOS-CZ6QE6-20240104110549

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701122
Report Date: 12/06/2023
Date Signed: 12/06/2023 03:32:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
11/03/2023 and conducted by Evaluator Kimberly Viarella

COMPLAINT CONTROL NUMBER: 27-AS-20231103081154

FACILITY NAME:	LEGACY OAKS OF SACRAMENTO		FACILITY NUMBER:	342701122
ADMINISTRATOR:	MELISSA ORELLO		FACILITY TYPE:	740
ADDRESS:	1922 MORSE AVENUE		TELEPHONE:	(916) 482-7745
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	160	CENSUS: 103	DATE:	12/06/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Laurie McConnell		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility has pests.

INVESTIGATION FINDINGS:

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On 12/06/2023, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to deliver the investigation findings regarding the above allegation. LPA identified herself upon arrival and stated the purpose of the visit. LPA met with Vice President of Operations, Laurie McConnell and a brief interview followed.

During the course of this investigation, this LPA collected interviews from both residents and staff. LPA also obtained the California Pest Control contract provided by the facility, and reviewed the contract along with the receCpts for treatments from February 2023 to present. In addition, this LPA reviewed the Maintenance Log at the Concierge Desk. This log included maintenance requests of all kinds from pest sightings to plumbing issues and was available to both residents and staff.

This LPA has visited the facility on 6 separate occasions: 10/24/23, 11/03/23, 11/08/23, 11/21/23, 12/05 and 12/06/23. During each of these visits, LPA would tour the common areas of the facility and randomly select

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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 27-AS-20231103081154

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LEGACY OAKS OF SACRAMENTO	FACILITY NUMBER: 342701122
	VISIT DATE: 12/06/2023

NARRATIVE

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resident rooms to visit. This LPA has not observed any pests during these visits. Of the 4 residents interviewed, 3 out of 4 reported that they have seen a roach(es) in their rooms. They also stated that maintenance responded to their requests for treatment right away. Of the 4 staff interviewed, 3 stated they had not seen any insects and 1 stated that they had not seen any in a long time.

LPA reviewed the pest control contract and receipts for treatment from 2/02/23 to 11/14/23. California Pest Control has treated the exterior and interior systematically twice a month. If there was an additional interior treatment, the exterior was also treated again. Each interior treatment treated up to 8 units. Some units have required multiple treatments. Administration stated that it has observed specific rooms that require additional monitoring and housekeeping and that has been scheduled.

LPA reviewed the Maintenance Log at the Concierge Desk. LPA observed the dates when pests were sighted, indicating that a treatment was needed. This LPA also observed the signature and date of when these requests were completed by the maintenance department. The facility had a system for communicating issues, and this LPA observed that it was being utilized by both staff and residents.

Laurie McConnell, the VP of Operations, stated that they have a new contract with their pest control provider that includes weekly treatments until the facility is clear of roaches for 30 days.

The preponderance of evidence to substantiate the allegation that the facility has pests is UNSUBSTANTIATED. Although pests were occasionally sighted, the facility was responsive and had an active treatment plan in place. Of the residents and staff interviewed, none felt that there was an infestation.

No deficiencies were observed or cited during this visit.

Exit interview.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC9099 (FAS) - (06/04)

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