347001498-10-17-2023-59-AS-MSEY-CWQNUB-20231018104602

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001498
Report Date: 10/17/2023
Date Signed: 10/17/2023 12:22:33 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
07/18/2023 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20230718104900

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: 45	DATE:	10/17/2023
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Toni Jones, Administrator		TIME COMPLETED:	12:25 PM

ALLEGATION(S):

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Staff was verbally abusive to a resident.
Staff are not adequately supervising residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conclude the investigation deliver findings to a complaint, received on 7/18/23, for the above allegations. LPA met with Toni Jones, Administrator, and explained purpose of inspection.

During the investigation, LPA interviewed the current Administrator, Resident Care Coordinator (RCC), (2) staff and (2) residents. LPA reviewed the incident report binder organized for months April -August 2023. The results of the investigation are as follows:

Allegation: Staff was verbally abusive to a resident. The complaint alleges a family member witnessed staff being verbally mean to the residents. There is no date, time or resident names referenced for this allegation.

One staff stated on 7/20/23 there is no verbal abuse ever but she will speak firmly with the residents since they have Dementia. A second staff who has worked at the community for many months stated he is not
**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: 10/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

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-20230718104900

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: 10/17/2023

NARRATIVE

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9099C-1...aware of any staff speaking abusively to a resident and staff might need to speak firmly but would never speak harshly. A third staff indicated she has never heard any verbal abuse from staff towards residents. (2) residents were asked if they have ever observed staff to talk harshly or rudely to residents. Both residents stated that staff has never yelled, screamed, or used profanity with one resident stating staff is "very helpful, very nice and polite". LPA has never observed any staff to speak harshly or inappropriately to a resident when visiting the community on multiple occasions.

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 are not adequately supervising residents. The complaint alleges a family member heard staff speaking to a manager on the phone about three seniors yelling, pushing and hitting one another and that when the residents fell to the ground, no management came to see if they were okay.

Additional information was received on 7/20/23 alleging to be from a “concerned neighbor” that a male resident left the building again and went over the fence.

On 7/25/23, additional information was received from an anonymous staff member reporting that a new resident left the building again and went to the nearby Mc Donald’s.

The RCC stated on 7/20/23 that if she were to see (3) residents hitting and pushing she would send them out to the ER, and if the residents were yelling, she stated "they're going to yell - they have Dementia". RCC commented, "we're going to have agitated residents" since it's Memory Care. The current Administrator, who began working at the community in August 2023, stated that she has never observed (3) residents to be involved in the same altercation, and has only seen (2) to be involved.

One staff stated she is not aware of (3) residents yelling, hitting and pushing one another, and that if she encounters an issue, she will speak to staff about it right away to correct it. Another staff stated that he doesn’t recall hearing about (3) residents yelling, pushing and hitting each other on/around July 2023 and confirmed that (R1) AWOL’d from the facility only once, the first night he was there, on 6/29//23. A third staff stated staff will respond instantly if there is a fall or altercation.

cont on 9099C-2...

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

LIC9099 (FAS) - (06/04)

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Control Number 59-AS-20230718104900

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: 10/17/2023

NARRATIVE

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9099-C-2.LPA reviewed several months of incident reports that were submitted to the Department and did not see any subsequent AWOL incidents for (R1) or any other AWOL's for any other resident, which the Administrator confirmed to be correct. LPA also did not observe an incident report noting (3) residents were involved in the same incident. (2) residents indicated to LPA that staff will respond promptly if a resident falls or or is in a situation with another resident.

Based on information obtained, LPA finds the above allegations 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 the Administrator.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

LIC9099 (FAS) - (06/04)

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