347000931-1-24-2024-59-AS-LMUZ-CZUUR8-20240126144818

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347000931
Report Date: 01/24/2024
Date Signed: 01/24/2024 11:41:26 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, 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
12/18/2023 and conducted by Evaluator Cheyenne Ratajczak

COMPLAINT CONTROL NUMBER: 59-AS-20231218113750

FACILITY NAME:	CANDLELIGHT HOME CARE		FACILITY NUMBER:	347000931
ADMINISTRATOR:	DOBRE, EMIL		FACILITY TYPE:	740
ADDRESS:	7224 CANDLELIGHT WAY		TELEPHONE:	(916) 725-5680
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95621
CAPACITY:	6	CENSUS: 3	DATE:	01/24/2024
		UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Administrator- Emil Dobre		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff refused to accept resident back after hospital discharge.

INVESTIGATION FINDINGS:

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On 01/24/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings for the complaint Community Care Licensing (CCL) received on 12/18/23. LPA met with Administrator, Emil Dobre, and explained the purpose of the visit.

During the course of the investigation, the department interviewed facility staff and obtained pertinent documents relevant to the complaint investigation.

Please continue to LIC9099-C..

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne Ratajczak	TELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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-20231218113750

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: CANDLELIGHT HOME CARE	FACILITY NUMBER: 347000931
	VISIT DATE: 01/24/2024

NARRATIVE

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Allegation: Staff refused to accept resident back after hospital discharge

On 12/17/23 Resident #1 (R1) was sent to the hospital due to a change in condition. The facility spoke to R1’s responsible party regarding R1’s behavior. It was agreed between R1’s responsible party and the licensee that R1 required a higher level of care than what the facility could provide.

R1’s responsible party moved R1 out of the facility on 12/21/23 and relocated R1 to a facility more suited to meet their needs.

Although the licensee expressed that they were unable to meet R1’s needs, R1 moved out of the facility at the request of R1’s responsible party.

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

Exit interview conducted and copy of the report and appeal rights was left at the facility.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Cheyenne Ratajczak	TELEPHONE: (916) 969-7879
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

LIC9099 (FAS) - (06/04)

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