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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002854
Report Date: 11/26/2024
Date Signed: 11/26/2024 11:33:36 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
10/18/2024 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20241018110855
FACILITY NAME:ALMOND GROVE ASSISTED LIVINGFACILITY NUMBER:
345002854
ADMINISTRATOR:PRICE, DARRELLFACILITY TYPE:
740
ADDRESS:6135 ALMOND AVENUETELEPHONE:
(916) 988-7506
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:78CENSUS: 56DATE:
11/26/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Assistant Director, Tosha DeviTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not following resident's medical care plan.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/26/24, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings for allegation listed above. LPA met with Assistant Director, Tosha Devi during today's visit and explained the purpose of the visit.
The department conducted staff and residents' interviews, reviewed records to investigate the allegation. During five (5) residents’ interviews, four (4) out five (5) residents stated that staff respond in a timely manner, however sometimes there is a delay in response due to staff assisting other resident’s needs. Interviews and record review indicated that resident’s ADL’s which includes residents showering, incontinence and care needs are met as required and documented accordingly. Residents’ interviews indicated that staff were providing care in a professional manner and did not express any concerns. During interviews with facility staff and residents, it was revealed that facility was giving residents medications timely and there were no concerns. Resident’s interviews indicated that staff were aware about their care needs per their needs and service plans and were following them without any concerns. Three (3) staff interviews reflected that staff were aware about resident’s medical care needs and were following their care plan as drafted in their files and there were no issues. Based on gathered information, this allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.Exit interview was conducted and copy of the report has been provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
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
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
10/18/2024 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20241018110855

FACILITY NAME:ALMOND GROVE ASSISTED LIVINGFACILITY NUMBER:
345002854
ADMINISTRATOR:PRICE, DARRELLFACILITY TYPE:
740
ADDRESS:6135 ALMOND AVENUETELEPHONE:
(916) 988-7506
CITY:ORANGEVALESTATE: CAZIP CODE:
95662
CAPACITY:78CENSUS: 56DATE:
11/26/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Assistant Director, Tosha DeviTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not conduct resident's medical assessment prior to admissions.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/26/24, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings for allegation listed above. LPA met with Assistant Director, Tosha Devi during today's visit and explained the purpose of the visit.
The department conducted staff and residents' interviews, reviewed records to investigate the allegation. It was alleged that facility did not conduct Resident 1 (R1) medical assessment prior to R1s admission at the facility. Record review indicated that, R1 was admitted to the facility on 11/02/23. LPA observed that facility have a medical assessment prior to R1 moving to the facility with a date of 10/11/23 for R1 from skilled nursing facility where R1 was residing prior to admitting to this facility. LPA observed that medical assessment was completed by facility per Department’s guidelines. Furthermore, LPA also observed that R1 has updated Medical Assessment by their physician dated -08/08/24 and facility has made modifications with R1s needs and service plan accordingly. Based on observations, interviews, and documented collected, facility ensured that a medical assessment was conducted timely. This agency has investigated the complaint alleging staff did not conduct resident’s medical assessment prior to admission. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.Exit interview was conducted and copy of the report has been provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2