347003628-8-5-2024-59-AS-MSEY-D7WNVC-20240807104742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347003628
Report Date: 08/05/2024
Date Signed: 08/05/2024 01:37:41 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
07/31/2024 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20240731092005

FACILITY NAME:	SUGAR MAPLE CARE HOME		FACILITY NUMBER:	347003628
ADMINISTRATOR:	SOTEA, FLORICA		FACILITY TYPE:	740
ADDRESS:	6737 SUGAR MAPLE WAY		TELEPHONE:	(916) 222-2022
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	6	CENSUS: 5	DATE:	08/05/2024
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Florida Sotea, Administrator		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Staff handled resident in a rough manner while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to open a complaint received on 7/31/24. LPA met with staff, Shelly McLeod, introduced herself and stated the reason for today's inspection. Staff contacted the Administrator, Florica Sotea, by phone to inform of LPA's presence in the facility.

LPA spoke to the Administrator, Florica, by phone, and confirmed that resident, who is the subject of this complaint, never lived at this care home, and she is not familiar with this individual. The caregiver also stated to LPA she is not familiar with this resident, as she returned to working at the care home on 8/4/24. LPA was given the names of the (5) residents currently residing at the care home. The Administrator arrived at the facility at 1:15 pm.

Based on information obtained, LPA finds the 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.

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: 08/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2024

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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