345002892-1-25-2024-59-AS-LMUZ-CZUURQ-20240126144908

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 345002892
Report Date: 01/25/2024
Date Signed: 01/25/2024 10:23:13 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
12/19/2023 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 59-AS-20231219104335

FACILITY NAME:	BLESSINGS CARE HOME		FACILITY NUMBER:	345002892
ADMINISTRATOR:	STEWART, JEFFREY		FACILITY TYPE:	735
ADDRESS:	7733 GINGERBLOSSOM DR		TELEPHONE:	(707) 704-0357
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95621
CAPACITY:	6	CENSUS: 4	DATE:	01/25/2024
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Administrator- Jeffrey Stewart		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Facility staff spoke inappropriately to resident(s).
Facility staff did not safeguard resident(s) belongings.

INVESTIGATION FINDINGS:

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On 01/25/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings for the complaint Community Care Licensing (CCL) received on 12/19/23. LPA met with Administrator, Jeffrey Stewart, and explained the purpose of the visit.

During the course of the investigation, the Department interviewed facility staff, residents in care and obtained pertinent documents relevant to the complaint investigation.

Please continue on page LIC 9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

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-20231219104335

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: BLESSINGS CARE HOME	FACILITY NUMBER: 345002892
	VISIT DATE: 01/25/2024

NARRATIVE

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Allegation: Facility staff spoke inappropriately to resident(s).

During LPA interviews with 3 of 3 residents. Residents stated they like living at the facility. Residents stated they have good relationships with staff members. LPA also interviewed staff. Staff interviews revealed that staff have not seen or heard other staff members talking inappropriately to residents. Staff stated that they have good relationships with all residents in care.

Allegation: Facility staff did not safeguard resident(s) belongings.

LPA interviewed staff members and residents. It was revealed by Staff #1 (S1) and Staff #2 (S2) that in the past they have had residents say their belongings are missing, but when asked what those items were the residents could not recall what items were missing. S2 stated those residents are no longer residing at the facility. Additionally, S1 stated that recently they have not had any residents tell them if items were missing.

Based on this information, the 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 and a copy of the report and appeal rights was left at the facility.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024

LIC9099 (FAS) - (06/04)

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