347004466-5-9-2023-59-AS-LMUZ-CRRLLD-20230512085058

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347004466
Report Date: 05/09/2023
Date Signed: 05/09/2023 02:18:31 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, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2023 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 59-AS-20230328170723

FACILITY NAME:	TRAJAN VILLA CARE HOME		FACILITY NUMBER:	347004466
ADMINISTRATOR:	FLORICA SOTEA		FACILITY TYPE:	740
ADDRESS:	6201 TRAJAN DRIVE		TELEPHONE:	(916) 358-6907
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	6	CENSUS: 6	DATE:	05/09/2023
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Administarator Florica Sotea		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Residents are chemically restrained with medication.
Facility staff not fingerprint-cleared.
Staff are using drugs while on duty.
Facility staff are abusing residents.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Lavinia Muscan and Talwinder Bains arrived unannounced to complete and deliver findings to a complaint received on 3/28/23. LPA met with Administartor Florica Sotea and explained purpose of visit..LPAs wore surgical masks during today's visit.

LPA interviewed (2) staff and (2) residents and reviewed medication orders for (2) residents. LPA also toured the facility and observed all residents on 4/3/23 and on 5/9/23. The results of the investigation are as follows:

Continued on 9099-C ...

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Lavinia Muscan	TELEPHONE: 916-263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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-20230328170723

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

FACILITY NAME: TRAJAN VILLA CARE HOME	FACILITY NUMBER: 347004466
	VISIT DATE: 05/09/2023

NARRATIVE

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Allegation: Residents are chemically restrained with medication.
All staff and resident interviews indicated that residents are only administered medications that are ordered and generally sleep through the night. Interviews and medication review showed that one resident takes Benadryl, which can cause drowsiness, as a scheduled medication and another resident takes Melatonin as ordered by the doctor. LPAs observed medications to be given as ordered and no errors for residents. Also, facility is correctly documenting the scheduled and PRN medications . Based on information obtained, LPAs finds the allegation to be UNFOUNDED-means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Allegation: Facility staff not fingerprint- cleared.
LPAs reviewed staff files for (3) staff, including photo ID, and observed that all staff are fingerprinted cleared and associated. Based on information obtained, LPAs finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Allegation: Staff are using drugs while on duty.
Complaint alleges that staff are using drugs while on duty. Based on interviews with staff and residents and LPAs observations on 4/3/23 and on 5/9/23, staff were observed to be competently assisting residents and able to perform their jobs. Based on information obtained, LPAs finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Allegation: Facility staff are abusing residents.
Based on interviews with staff and residents and LPAs observations on 4/3/23 and on 5/9/23, staff are not abusing or neglecting residents. Residents who were able to be interviewed stated staff provides excellent care and assists them well. LPAs observed residents watching television and doing other activities during inspections and didn't observe any physical abuse to on any residents. Based on information obtained, LPAs finds the allegation to be UNFOUNDED- means that the allegation is false, could not have happened, and/or is without a reasonable basis.

No citations were issued during this visit. Exit interview conducted. Copy of report provided to Administrator.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Lavinia Muscan	TELEPHONE: 916-263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

LIC9099 (FAS) - (06/04)

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