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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 390332359
Report Date: 03/29/2022
Date Signed: 03/29/2022 03:29:44 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, 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
03/22/2022 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20220322131320
FACILITY NAME:HANOT FOUNDATIONFACILITY NUMBER:
390332359
ADMINISTRATOR:REEVES, LAURA L.FACILITY TYPE:
735
ADDRESS:14373 EAST SARGENTTELEPHONE:
(209) 334-6454
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY:30CENSUS: 25DATE:
03/29/2022
UNANNOUNCEDTIME BEGAN:
01:09 PM
MET WITH:Laura ReevesTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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9
Lack of Supervision- Resident can't find staff.
INVESTIGATION FINDINGS:
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13
On 3-29-22 at 1:09pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate a complaint for the allegation noted above. LPA met with Administrator Laura Reeves and explained the purpose of the visit. LPA interviewed Administrator, Staff1 (S1), S2, S3, and S4. LPA also interviewed Resident1 (R1), R2, and R3. LPA also reviewed staffing schedule and actual hours worked for March 2022 and conducted a facility observation. Based on records reviewed and observation, it was determined that seven staff members were scheduled and present to care for resident needs in house in addition to Administrator. Observation and interviews revealed resident needs are being met including showering, toileting, meal assistance, and redirection as necessary based on the number staff present. Staff schedules , actual hours worked, and interviews revealed that staffing levels are appropriate to meet resident needs consistently. LPA did not observe difficulty in locating staff during today's observation between 1:00 and 3:00pm. Interviews conducted with residents and staff did not reveal a history of difficulty finding staff.

{Cont. on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 27-AS-20220322131320
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: HANOT FOUNDATION
FACILITY NUMBER: 390332359
VISIT DATE: 03/29/2022
NARRATIVE
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Based on the interviews conducted, facility observation, and records reviewed it is determined that there is not a preponderance of evidence to prove residents are not appropriately supervised or unable to locate within facility. Therefore, this allegation is UNSUBSTANTIATED.

An exit interview was conducted with Laura Reeves and a copy of this report was left with Laura.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2