361880786-1-4-2023-56-AS-KCLS-CN2VKU-20230113153054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880786
Report Date: 01/04/2023
Date Signed: 01/04/2023 02:16:04 PM

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
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2022 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20220921101913

FACILITY NAME:	SUMMERFIELD OF 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: 44	DATE:	01/04/2023
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Hedi Charette- Administrator		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Resident's hygiene needs are not being met.
Resident is not provided clean clothing.
Resident's bathroom is not clean.
Resident's room is malodorous.
Staff withheld resident's personal items.
Facility did not provide authorized representative a rate change notice 60 days prior to increase.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility for the purpose of initiating investigation and delivering findings on a complaint(s) listed above. LPA met with Hedi Charette and she was informed of the purpose of the visit.

LPA Allen conducted interviews with seven staff members (7) staff members and seven (7) outside parties who stated that they have never had any issues with their family members hygiene needs not being met and has always been clean and free of odors; they also said that they have not had any issues with their family members personal items being withheld from the family or the resident.

LPA’s Allen tour of the facility and it was observed that the facility was clean and free of malodorous orders including seven (7) resident’s rooms and bathrooms. LPA also observed clean clothing in the rooms of the residents including (R1). LPA also observed the residents in care clothing appeared to be clean and free of stains and odors.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2022

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 56-AS-20220921101913

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
, CA 92507

FACILITY NAME: SUMMERFIELD OF REDLANDS	FACILITY NUMBER: 361880786
	VISIT DATE: 01/04/2023

NARRATIVE

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The missing item of (R1) was confirmed as being returned. The seven (7) interviews conducted with outside parties said that they were informed of the rate change by mail or phone call and that the new charges wouldn’t go into effect until 1/2023.

Therefore, based on interviews, observations and records reviewed, the six (6) allegations listed above are deemed Unsubstantiated. A finding that a complaint is Unsubstantiated means 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.

An exit interview was conducted where this report was discussed and a copy of the report and appeal rights were provided to XXX at the conclusion of the visit.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 12/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2022

LIC9099 (FAS) - (06/04)

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