345002831-9-18-2024-59-AS-KHOS-D9EGZ3-20240924054628

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345002831
Report Date: 09/18/2024
Date Signed: 09/18/2024 09:22:15 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
05/02/2024 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 59-AS-20240502094435

FACILITY NAME:	PEOPLE'S CARE KRANS COURT		FACILITY NUMBER:	345002831
ADMINISTRATOR:	BRITT, AMANDA		FACILITY TYPE:	735
ADDRESS:	8530 KRANS COURT		TELEPHONE:	(909) 287-3557
CITY:	ANTELOPE	STATE: CA	ZIP CODE:	95843
CAPACITY:	4	CENSUS: 3	DATE:	09/18/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	DSP- Tyra Murray		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff does not ensure facility has food of good quality and quantity for residents in care.
Staff do not ensure residents are treated with dignity and respect.
Staff did not ensure residents was permitted entry to the facility.
Staff engaged in an inappropriate altercation with residents in care.

INVESTIGATION FINDINGS:

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On 09/18/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 05/02/24. LPA met with DSP Tyra Murray and explained the purpose of the visit. LPA spoke with Administrator Amanda Britt on the phone to explain the purpose of the visit and deliver findings.

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

Please continue to LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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-20240502094435

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: PEOPLE'S CARE KRANS COURT	FACILITY NUMBER: 345002831
	VISIT DATE: 09/18/2024

NARRATIVE

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Allegation: Staff does not ensure facility has food of good quality and quantity for residents in care.
During the investigation LPA conducted interviews and a tour of the facility. Facility provided LPA with menu for the week. Staff interviews indicated that they do have a menu but sometimes residents will want something different. Staff will make accommodations within reason. Interview with Staff #1 (S1) revealed that Resident #1 (R1) buys their own food and will keep it in their room. Additionally, on LPAs visit on 08/20/24, LPA observed the facility to have non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days.
Allegation: Staff do not ensure residents are treated with dignity and respect.
LPA conducted interviews with facility staff. Interviews with staff revealed that they have not witnessed another staff member treating residents without dignity and respect. During LPA visit on 05/08/24 and 08/20/24 LPA observed facility staff to be attentive to residents needs and treating them with dignity and respect. LPA attempted interviews with residents but due to the mental capacity of the residents LPA was unable to interview residents.
Allegation: Staff did not ensure residents was permitted entry to the facility.
During the course of the investigation LPA interviewed three (3) staff who have worked with R1. All staff members indicated they have never, nor have they heard of any other staff locking R1 out of the facility. Interviews with staff indicated that R1 would come and go from the facility. LPA attempted interviews with residents but due to the mental capacity of the residents LPA was unable to interview residents.
Allegation: Staff engaged in an inappropriate altercation with residents in care.
Interviews with staff members indicated that they have never witnessed any inappropriate behavior between staff take place around the Residents or upset Residents in care. During visits conducted at the facility, LPA did not observe any altercations between staff members and clients. Staff were attentive to the needs of residents in care. LPA attempted interviews with residents but due to the mental capacity of the residents LPA was unable to interview residents.

Based on this information, these allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated. 
 
 Exit interview conducted. A copy of the report and appeal rights left at the facility.  

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

LIC9099 (FAS) - (06/04)

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