361880786-1-21-2022-18-AS-KCLS-CDQPS2-20220422113338

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880786
Report Date: 01/21/2022
Date Signed: 01/21/2022 10:59:33 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/12/2022 and conducted by Evaluator Javier Prieto

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220112122250

FACILITY NAME:	SOMERFORD PLACE-REDLANDS		FACILITY NUMBER:	361880786
ADMINISTRATOR:	TURNER, DANICA J		FACILITY TYPE:	740
ADDRESS:	1319 BROOKSIDE AVENUE		TELEPHONE:	(909) 793-9500
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92373
CAPACITY:	75	CENSUS: 42	DATE:	01/21/2022
		UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Trish McCraken		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Residents are not being changed timely
Resident admitted without a physicians report
Resident admitted without a hoyer lift
Resident admitted without a medication list
Residents are not being showered timely
Facility is not sufficiently staffed to meet the resident's needs.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to concluded a complaint investigation regarding allegations that the residents are not being changed timely, resident admitted without a physicians report, resident admitted without a hoyer lift, resident admitted without a medication list, residents are not being showered timely and facility is not sufficiently staffed to meet the resident's needs. LPA Prieto met with Business Office Manager Trish McCraken and toured the facility which was clean and free from foul odors. Hallways were free of clutter and doorways free of obstructions. LPA obtained resident's cleaning and shower schedules of resident's in care. There are sufficient staff to meet the cleaning needs of residents and completion forms were also obtained related to showers and personal cleaning. LPA interviewed R1 in question and reviewed resident's file to see that R1 was admitted with an admission's agreement and medication list and copies of those records were obtained by LPA.Records also show that R1 does not require a Hoyer lift, no records showing a doctor's order for a Hoyer lift, thus not required during time of admission. LPA also obtained staff roster and their work schedules to see that there is sufficient staff to care for the needs of the residents in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: 9512480349(323) 981-3968
LICENSING EVALUATOR NAME: Javier Prieto	TELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

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 18-AS-20220112122250

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SOMERFORD PLACE-REDLANDS	FACILITY NUMBER: 361880786
	VISIT DATE: 01/21/2022

NARRATIVE

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Based on the information obtained there is not enough evidence that residents are not being changed timely, resident admitted without a physicians report, resident admitted without a Hoyer lift, resident admitted without a medication list, residents are not being showered timely and facility is not sufficiently staffed to meet the resident's needs. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: 9512480349(323) 981-3968
LICENSING EVALUATOR NAME: Javier Prieto	TELEPHONE: 951-217-3135
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

LIC9099 (FAS) - (06/04)

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