366413246-9-18-2020-18-AS-RLAY-BTSRFH-20200925125909

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 366413246
Report Date: 09/18/2020
Date Signed: 09/18/2020 12:46:47 PM

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
08/31/2020 and conducted by Evaluator Pauline Beschorner

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200831102047

FACILITY NAME:	STERLING INN		FACILITY NUMBER:	366413246
ADMINISTRATOR:	BARBER, DONALD		FACILITY TYPE:	740
ADDRESS:	17738 FRANCESCA ROAD		TELEPHONE:	(760) 245-2999
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	185	CENSUS:	DATE:	09/18/2020
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Don Barber		TIME COMPLETED:	12:46 PM

ALLEGATION(S):

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Facility does not have any hot water

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pauline Beschorner conducted this investigation visit telephonically due to Covid-19 to conclude this agency’s investigation into the complaint allegations mentioned above. LPA spoke with Administrator Don Barber.

During this investigation, interviews were conducted with the Administrator, staff (S1-S4), and residents (R1-R3). LPA obtained and reviewed pertinent documentation.

It is alleged that facility does not have any hot water and has not had any hot water for about 3 months. Based on interviews with S1-S4 and R1-R3 LPA learned the following:

3 of 3 residents stated that there is hot water in the resident rooms. 4 of 4 staff stated that the hot water is only out in the kitchen and laundry room areas and has been out for about 2 weeks. The Administrator was immediately notified when the hot water heaters went out on 8/22/2020. CONTINUED ON NEXT PAGE

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Pauline Beschorner	TELEPHONE: (951) 897-7936
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

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-20200831102047

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: STERLING INN	FACILITY NUMBER: 366413246
	VISIT DATE: 09/18/2020

NARRATIVE

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Administrator immediately called and received 2 estimates from 2 different plumbers to provide an estimate to fix and replace the water heaters. One estimate was approved by the facility’s corporate office and the water heaters were replaced the evenings of 9/9 through 9/11 until the work was completed and to not disrupt the daily operation of the facility. Staff have been washing dishes multiple times, boiling water to be sure dishes and trays are clean and sanitary as well as using a sanitizing solution.

It has been confirmed that the facility was not without any hot water and no hot water was limited to the kitchen and laundry areas only. The Administrator was working diligently toward getting the water heaters replaced without interrupting any service to the residents.

This agency has investigated the complaint alleging that the facility did not have any hot water. We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and is without a reasonable basis. We have therefore dismissed the complaint.

An exit interview was conducted, and a copy of this report is being reviewed with and furnished to the facility Administrator Don Barber via email whose signature on this form confirms the above-mentioned documents.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Pauline Beschorner	TELEPHONE: (951) 897-7936
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

LIC9099 (FAS) - (06/04)

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