392700721-10-10-2020-27-AS-LKIG-BUCR25-20201013123745

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700721
Report Date: 10/10/2020
Date Signed: 10/10/2020 02:15:12 PM

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
08/20/2020 and conducted by Evaluator Ruth Wallace

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20200820095851

FACILITY NAME:	DIAMOND CARE INC.		FACILITY NUMBER:	392700721
ADMINISTRATOR:	MURPHY, GLORIA		FACILITY TYPE:	740
ADDRESS:	7910 BRIGHT RD		TELEPHONE:	(209) 914-2859
CITY:	FRENCH CAMP	STATE: CA	ZIP CODE:	95231
CAPACITY:	12	CENSUS: 9	DATE:	10/10/2020
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Telephone Call For Pre-Caution COVID-19 - Administrator Zachary Murphy-Duncan		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Staff not seeking medical attention for residents in a timely manner.
Staff not providing assistance to residents in a timely manner
Staff mismanaged residents medication

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Wallace contacted Administrator Zachary Murphy-Duncan on October 10, 2020 to conclude a complaint investigation via telephone due to COVID-19 and pre-cautionary measures. A physical visit was not conducted in that the Department is not conducting Residential Care for the Elderly visits at this time, due to the COVID-19 virus.

During the investigation, LPA’s Wallace and Ashley Boothe conducted interviews with Complainant, Office Administrator – Carie Snodgrass, and Quality Assurance Manager- Nancy Hamaker.

The allegations are:
Staff not seeking medical attention for residents in a timely manner.
Staff not providing assistance to residents in a timely manner
Staff mismanaged residents medication

The complainant alleged when residents would need assistance, staff were not able to assist in a timely manner. No evidence in the review of resident records. Over medicating with a stool softener was alleged and residents not being transported to emergency room in a timely manner. When LPA interviewed complainant, the individual had no evidence only a “belief” that these allegations occurred. Complainant could not provide any dates, times, specific residents, or staff names regarding the three allegations.
Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Ruth Wallace	TELEPHONE: (619) 323-4509
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2020

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 27-AS-20200820095851

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: DIAMOND CARE INC.	FACILITY NUMBER: 392700721
	VISIT DATE: 10/10/2020

NARRATIVE

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Continued from 9099

Based on interviews, LPA's observations, and resident records review, the Department (CCLD) has found all three allegations: staff not seeking medical attention for residents in a timely manner, staff not providing assistance to residents in a timely manner, and staff mismanaged residents’ medications.
Unsubstantiated.

A finding that the complaint allegation(s) are UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred, and the findings are unsubstantiated.

No deficiencies were cited for this report.

An exit interview was conducted with Administrator Zachary Murphy-Duncan via telephone and a copy of 9099, Appeal Rights, and 811(Confidential Names) was provided to Zachary Murphy-Duncan via email, an electronic email read receipt confirms receiving these documents. Administrator will sign 9099 and send back electronic email to LPA Wallace on October 10, 2020.

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Ruth Wallace	TELEPHONE: (619) 323-4509
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2020

LIC9099 (FAS) - (06/04)

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