347001498-8-9-2023-59-AS-MSEY-CUQMCE-20230815092925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001498
Report Date: 08/09/2023
Date Signed: 08/09/2023 05:21:03 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
08/03/2023 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20230803082156

FACILITY NAME:	CITRUS HEIGHTS TERRACE		FACILITY NUMBER:	347001498
ADMINISTRATOR:	EDITHA MCCULLOUGH		FACILITY TYPE:	740
ADDRESS:	7952 OLD AUBURN ROAD		TELEPHONE:	(916) 727-4400
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	45	CENSUS: 42	DATE:	08/09/2023
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Ashley Stahl, Resident Care Coordinator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff yelled at resident
Staff failed to treat resident with dignity and respect

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to open a complaint investigation received anonymously on 89/3/23. LPA met with Ashika Bennanon, Med-Tech, who stepped out of the staff meeting taking place and directed LPA to an empty office area. LPA later met with Ashley Stahl, Resident Care Coordinator (RCC) and explained purpose of inspection. LPA observed a resident (R2) being taken by a non-emergency ambulance provider to the hospital for medical attention.

During today's inspection, LPA interviewed the RCC and (1) staff. LPA also reviewed notes from the Ombudsman's visit to the facility on 8/4/23 regarding the alleged incident. The results of the investigation are as follows:

Allegation: Staff yelled at resident. Complaint alleges that a random driver was stopped on the side of the ride to use the navigation system in his/her car and heard a female staff yell at a resident by the gate. Allegation also states the staff was blonde-haired.

**cont on 9099C-1...

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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-20230803082156

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: CITRUS HEIGHTS TERRACE	FACILITY NUMBER: 347001498
	VISIT DATE: 08/09/2023

NARRATIVE

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9099C-1... Ombudsman notes she used the distance measurement app on her cell phone to check the distance between the outside curb area from Old Auburn Road to the resident gate areas. Based on the distances determined, it's unlikely that anyone who was on Old Auburn Road could hear yelling or noise from inside any of the resident gate areas, considering the traffic levels on Old Auburn Road. Additionally, RCC stated she and the Ombudsman went outside and were unable to hear any noise.

Staff stated also in an interview that given the triple digits for heat temperatures over the weekend of July 29/30, 2023, it's unlikely anyone would have their window down also, and when she has parked on the street she is unable to hear any conversations from the community due to the noise of the traffic on Old Auburn Road. RCC and staff interviewed indicated there are no blond caregivers currently working during any shifts, including the weekends. RCC confirmed she was not at the facility on the said weekend. LPA has conducted several recent inspections at the community and has never observed staff to yell at any residents.

Based on information obtained during the investigation, LPA finds this allegation to be UNFOUNDED-meaning that the allegation was false, could not have happened and/or is without reasonable basis.

Allegation: Staff failed to treat resident with dignity and respect. Complaint alleges the same staff was upset and yelled at a resident, "if I have to come out here on my day off again you will get yours.".

Ombudsman's notes from the 8/4/23 inspection indicate that she met and spoke with several residents who indicated they are happy and comfortable with the care at the facility. Additionally, several residents who were near the front entrance area that day, appeared "healthy, dressed and groomed appropriately". Another resident who had previously fallen and sustained a bruise indicated she was doing well, was able to walk without any assistive device and "her facial injuries were healing". LPA has conducted several recent inspections at the community and has always observed staff to treat residents with dignity and respect.

Based on information obtained during the investigation, LPA finds this allegation to be UNFOUNDED-meaning that the allegation was false, could not have happened and/or is without reasonable basis.

Exit interview. Copy of report provided to RCC.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC9099 (FAS) - (06/04)

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