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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347001498
Report Date: 12/22/2022
Date Signed: 12/22/2022 12:27:27 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/19/2022 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 25-AS-20220919142458
FACILITY NAME:CITRUS HEIGHTS TERRACEFACILITY NUMBER:
347001498
ADMINISTRATOR:TINA PREWITTFACILITY TYPE:
740
ADDRESS:7952 OLD AUBURN ROADTELEPHONE:
(916) 727-4400
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY:45CENSUS: 41DATE:
12/22/2022
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Tina Prewitt, Administrator TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Resident sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver investigative findings to a complaint received on 9/19/2022. LPA met with Tina Prewitt, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 Department protocols and was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE): surgical mask.

During the investigation, the Department interviewed multiple facility staff members, residents, including resident (R1), as well as several individuals who had knowledge related to the allegation. In addition, the Department reviewed resident's (R1) documentation on file at the faciltiy and hospital medical records. The results of the investigation are as follows:

cont on 9099C(1)...
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
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 25-AS-20220919142458
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: CITRUS HEIGHTS TERRACE
FACILITY NUMBER: 347001498
VISIT DATE: 12/22/2022
NARRATIVE
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9099C(1)....Resident (R1) was sent to the emergency room on 9/17/2022 due to an "Altered Mental State" and was admitted to the hospital that day. While receiving further medical evaluation, doctors observed "8-10 small petechiae type bruises on the inside of her labia. " The area of the petechiae was alarming and was reported by medical staff. It was later discovered that the cause of the petechiae was a medical condition which causes swelling and irritation to the skin known as "Lichen Planus" and "Pruritis" which causes itchy skin.

The local police department conducted their own preliminary investigation which included a SART exam. No foreign DNA was found in resident's vaginal area. Due to no medical evidence being found, it was determined the petechiae was self-inflicted, and the case was closed as "unfounded".

Several staff members were interviewed. All interviews concluded that R1 is a 2-person assist with all ADL's and requires (2) staff to assist with providing incontinent care. All staff interviewed stated that no staff member witnessed anyone clean R1 inappropriately and confirmed they are trained mandated reporters and they must report any sort of abuse immediately.

Several residents were interviewed or attempted to be interviewed. Residents who were able to communicate their thoughts indicated that the facility is a good place to live, staff take good care of them and they were not aware of any abuse towards other residents taking place. Some residents interviewed were not able to provide any information due to a diagnosis of later stages of Dementia.

Based on information obtained through interviews and medical documentation, there is no evidence to support resident's bruising was caused by sexual abuse. Per R1's medical records, the petechiae was caused due to a medical condition; therefore, the allegation is UNFOUNDED- meaning that the allegation was false, could not have happened and/or is without reasonable basis.

Exit interview. Copy of report provided to Administrator.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2