347003293-9-2-2021-27-AS-LMUZ-C6HSHW-20210903135411

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347003293
Report Date: 09/02/2021
Date Signed: 09/02/2021 03:04:55 PM

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
03/02/2021 and conducted by Evaluator Danyle Wolter

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20210302145501

FACILITY NAME:	RENAISSANCE HOME CARE		FACILITY NUMBER:	347003293
ADMINISTRATOR:	LAPADAT, LILIANA		FACILITY TYPE:	740
ADDRESS:	9374 MANETTE WAY		TELEPHONE:	(916) 201-0555
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	0	CENSUS: 0	DATE:	09/02/2021
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Liliana Lapadat, Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff worker financially abused resident while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Wolter arrived at licensee’s other facility (Renaissance Senior Care 347005479) to deliver complaint findings for the allegation listed above as facility complaint was filed against is closed. LPA met with licensee Lilliana Lapadat and explained the purpose of the visit. LPA completed required COVID-19 testing protocols and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms and contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. LPA was screened upon arrival.

Throughout the course of the investigation the department conducted interviews and reviewed documentation relevant to the allegation: Staff worker financially abused resident while in care. Interview conducted with resident (R1) revealed that no financial abuse occurred.

Due to this information the department finds the allegation to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.
Exit interview conducted and copy of report provided to licensee.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Danyle Wolter	TELEPHONE: (916) 708-5307
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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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