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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002854
Report Date: 12/10/2024
Date Signed: 12/10/2024 01:27:35 PM

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
10/29/2024 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20241029121652
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: 57DATE:
12/10/2024
UNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Assistant Director, Tosha DeviTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff steals resident’s money.
Staff mishandling resident’s medication.
Staff did not provide resident with lunch.
Facility heat and air conditioner is in disrepair.
Staff searching residents personal belongings.
Staff not providing a comfortable room temperature for residents.
Facility does not have clean towels for resident(s).
Staff does not treat resident with respect.
Staff tested positive for covid.
INVESTIGATION FINDINGS:
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On 12/10/24, Licensing Program Analyst (LPA) Talwinder Bains arrived unannounced to deliver complaint findings for allegations listed above. LPA met with Assistant Director, Tosha Devi during today's visit and explained the purpose of the visit.

The department conducted records review ,facility observations and interviews with staff and residents to investigate the complaint.



**Report continued on LIC9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
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 4
Control Number 59-AS-20241029121652
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: ALMOND GROVE ASSISTED LIVING
FACILITY NUMBER: 345002854
VISIT DATE: 12/10/2024
NARRATIVE
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***Report continued from 9099.....

Allegation- Staff steals resident’s money.-Unfounded

The Department conducted record review, interviewed four (4) residents and four (4) staff members to investigate this allegation. Record review indicated that facility was collecting residents monthly charges per their admissions agreement and there were no indications for any misusing of residents funds in any manner. Additionally, facility was keeping proper log and records for residents payments and receipts without any problems. Residents interviews did not indicate any staff were stealing residents money or funds . Staff interviews reflected that staff facility was managing residents accounts well and they were not aware about any wrong doings with residents funds or money in any way. Based on gathered information, this allegation was found to be Unfounded.

Allegation- Staff mishandling resident’s medication. .-Unfounded

The Department conducted record review, interviewed four (4) residents and four (4) staff members to investigate this allegation. During these interviews with four (4) staff and four (4) residents, it was revealed that the facility dispensed all residents' medications on time and administered them as scheduled. Residents’ interviews indicated that staff were assisting them with their medications without any issues. Furthermore, a review of the records for the month of October 2024, indicated that the facility maintained a proper logs for all medications in the centrally stored medication log, following physician's orders, and documenting them in the Medication Administration Record (MAR) without any errors. Staff interviews reflected that residents were given medications on time per their physician’s orders and there were no problems to address. Based on these findings, this allegation is considered UNFOUNDED.

Allegation- Staff did not provide resident with lunch. .-Unfounded

An investigation has been conducted regarding the above allegation. LPA observed the facility’s food supply as well as interviewed residents regarding the food service. Based on observation and interviews, the facility keeps the required amount of food supply in the facility. Additionally, four (4) residents interviews indicated that residents are satisfied with the food service at the facility and denying missing any meal there. During resident’s interviews, it has been found out that residents can request their meal tray in their rooms if they do not want to eat in dining room. Residents stated that there were no issues with tray delivery service to their rooms and they did not miss any meals. Four (4) staff interviewed indicated that they were not aware of any issues with residents missing their meals. Based on the information, this allegation is found to be Unfounded. (report continued....)

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 59-AS-20241029121652
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: ALMOND GROVE ASSISTED LIVING
FACILITY NUMBER: 345002854
VISIT DATE: 12/10/2024
NARRATIVE
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**Report continued from 9099....

Allegation- Facility heat and air conditioner is in disrepair. Staff not providing a comfortable room temperature for residents. .-Unfounded

The Department conducted record review, interviewed four (4) residents and four (4) staff members to investigate this allegation. Four resident’s interviews did not indicate any issues with facility’s physical operations including working A/C unit or comfortable temperature at the facility. Residents stated that sometime in June or July 2024, one of A/C unit was not working properly but facility followed up on that issue in timely manner and that issue has been resolved completely. Residents care or safety were not affected by issues with A/C unit not been working at that time. Four staff interviews reflected that facility A/C was operating without any problems and there were no issues in this area. Furthermore, staff stated that facility administration follow up in in timely manner if there were any issues with any physical operations at the facility, therefore the allegation is UNFOUNDED.

Allegation- Staff searching residents personal belongings. .-Unfounded

The Department interviewed four (4) residents and four (4) staff members to investigate this allegation. Residents interviews did not indicate any staff were searching their personal belongings or stealing stuff from them. Staff interviews reflected that facility was safeguarding residents personal belongings well and they were not aware if any staff were stealing or searching residents personal belongings. Based on gathered information, this allegation was found to be Unfounded.

Allegation- Facility does not have clean towels for resident(s). .-Unfounded

The Department conducted record review, interviewed four (4) residents and four (4) staff members to investigate this allegation. Residents interviews reflected that facility has adequate supply of linens to take care of residents and there were no problems. Staff interviews indicated that facility provide adequate supplies of towels, other linens for residents care without any issues and denied any shortage. During Department’s visits, it has been observed that facility has enough supplies of all kind of linens to take care of residents. Based on these findings, this allegation is considered UNFOUNDED.

(Report continued.....)

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 59-AS-20241029121652
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: ALMOND GROVE ASSISTED LIVING
FACILITY NUMBER: 345002854
VISIT DATE: 12/10/2024
NARRATIVE
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**Report continued from 9099.....

Allegation- Staff does not treat resident with respect. .-Unfounded

The Department interviewed four (4) residents and four (4) staff members to investigate this allegation. Interviews did not indicate any residents, staff and/or witness observed that staff are not providing privacy to residents in care. Department observed during facility visits that facility staff were attentive to resident’s needs and providing them privacy while taking care of them and during resident’s personal time with families and visitors. During residents’ interviews, residents stated that facility staff are meeting their care needs and did not express any concerns with privacy, respect or dignity. Residents’ interviews indicated that staff were treating all residents with dignity and respect and did not express any issues. Resident’s interviews indicated their satisfaction with staff’s professionalism and did not express any issue with staff were being rough with their care or speaking to them in any inappropriate manner. Staff interviews reflected that staff were treating all residents with respect and dignity and were not speaking inappropriately to any residents. Based on facility tour, interviews and observation, the department found this allegation is to be UNFOUNDED.

Allegation- Staff tested positive for covid. .-Unfounded

The Department conducted record review, interviewed four (4) residents and four (4) staff members to investigate this allegation. Staff interviews reflected that facility was following infection control guidelines regarding COVID-19 illness for staff and residents and there were no issues to report. Residents interviews indicated that facility was complaint with infection control guidelines and they were satisfied with staff’s care at the facility. Staff and residents were not aware if facility allowed any COVID positive staff to work the facility. Based on these findings, this allegation is considered UNFOUNDED.

A finding that the allegations are unfounded means that the allegations are false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. A copy of this report has been provided to facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4