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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002947
Report Date: 06/07/2023
Date Signed: 06/07/2023 10:19:14 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/22/2023 and conducted by Evaluator Talwinder Bains
COMPLAINT CONTROL NUMBER: 59-AS-20230522104845
FACILITY NAME:J & H CARE HOMESFACILITY NUMBER:
345002947
ADMINISTRATOR:SALMAN, RASHAFACILITY TYPE:
740
ADDRESS:8529 ARROWROOT CIRCLETELEPHONE:
(916) 905-8038
CITY:ANTELOPESTATE: CAZIP CODE:
95843
CAPACITY:6CENSUS: 3DATE:
06/07/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Administrator, Rasha Salman TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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The facility is not storing an adequate amount of food.
Facility owner threatened a staff member in the presence of residents.
Residents are not given privacy while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 06/07/23 to deliver complaint findings for above allegations. LPA met with administrator,Rasha Salman and explained the purpose of todays's visit.


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



**Report continued on LIC9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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
Control Number 59-AS-20230522104845
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: J & H CARE HOMES
FACILITY NUMBER: 345002947
VISIT DATE: 06/07/2023
NARRATIVE
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***continued from LIC9099........
Allegation--The facility is not storing an adequate amount of food. On 05/30/23 LPA Bains did a walk-through of the kitchen and noted that the facility had the appropriate food amount in 2 days of perishables and 7 days of nonperishable food items. The facility had two types of juice available, cranberry, and strawberry, fresh vegetables, frozen items, dessert, sandwiches, cheese, and potatoes. The facility had several shelves of frozen food and nonperishable food. Food included soups, drinks, chicken, cranberries, bread, tater tots, rice, beans, and canned fruits. Staff and residents’ interviews indicated that facility has adequate supplies of all food items and there were no concerns, therefore, this allegation is UNFOUNDED.

Allegation--Facility owner threatened a staff member in the presence of residents. During investigation, Licensing Program Analyst (LPA) Bains interviewed residents and staff to investigate this allegation. Based on interviews that was conducted with residents, residents stated that they did not witness facility owner was threatening any staff member. Staff who were interviewed stated that they have not observe facility owner threatening any staff member in any manner. S1 interview indicated that sometimes staff talk loud to each other in their native language which could have been perceived as threatening tone, but staff treat everyone with respect and dignity and work at facility in a professional manner, therefore the allegation is UNFOUNDED.

Allegation--Residents are not given privacy while in care. LPA Bains interviewed 2 staff and 2 residents during complaint investigation on 05/30/23. Department conducted the investigation for the stated allegation from this complaint. Department conducted a tour of the facility on 05/30/23 and conducted interviews with administrator, residents, staff. Interviews did not indicate any residents, staff and/or witness observed that staff are not providing privacy to residents in care. Department observed while doing facility tour on 05/30/23 that facility staff appeared to be 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 is meeting their care needs and did not express any concern with privacy. Based on facility tour, interviews and observation, department found this allegation is to be UNFOUNDED.

Based on the investigation, the preponderance of evidence standards has not been met. Therefore, the above all allegations is found to be 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.



No citations were issued today. Exit meeting conducted with administrator. A copy of this report has been provided to facility.
SUPERVISOR'S NAME: Laura MunozTELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Talwinder BainsTELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2