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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397003261
Report Date: 03/24/2022
Date Signed: 04/06/2022 09:43:31 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
02/24/2022 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 27-AS-20220224104318
FACILITY NAME:BROOKDALE TRACYFACILITY NUMBER:
397003261
ADMINISTRATOR:SARA MACKEDSYFACILITY TYPE:
740
ADDRESS:355 W GRANT LINE RDTELEPHONE:
(209) 835-1000
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:180CENSUS: 116DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
05:15 PM
MET WITH:Executive Director . Mary Margaret Chappell TIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Facility has bed bugs.
Administrator is not of good character.
Facility is not following their procedures when reports of insects are received.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility unannounced on March 24, 2022 at 08:30 a.m. to investigate the above allegations. LPA met with Executive Director Mary Margaret and explained the purpose of today’s visit.


Regarding the allegation Administrator is not of good character. Based on LPA interviews with facility staff Administrator Sara Mackedsy is of good character. LPA spoke with three facility staff members, one member of the community that is hired to do work at the facility, and three facility residents. The staff members all stated Administrator Sara Mackedsy is amazing at her job, and making many much needed positive changes to the facility. The staff stated she is always professional and nice to the residents. The staff also stated she is nice, friendly, and always available to them when she is needed at any time of the day or night. The facility staff all stated Sara is a very hard worker that takes her job seriously.
Continued on 9099C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephenie DoubTELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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-20220224104318
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: BROOKDALE TRACY
FACILITY NUMBER: 397003261
VISIT DATE: 03/24/2022
NARRATIVE
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Continued from 9099...

Two of the residents interviewed stated they like Administrator Sara Mackedsy, and she is always very nice to them. Resident 1 stated he thinks Sara is trying to rule with an iron fist and she is not doing what is in the best interest of the residents. Based on the majority of staff stating Administrator Sara is of good character. Therefore, this allegation is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Facility has bed bugs. Based on interviews with facility staff, and records reviewed the facility did recently have a room with bed bugs. The resident was moved out of the room, and the room was heat treated. The facility maintenance staff, and Administrator have taken the needed steps to contain the bugs, and exterminate the bugs immediately. LPA spoke with the local pest control employee who agrees the facility does not need to take any further action at this time such as utilizing bug sniffing dogs as the bed bugs are isolated to one room at this time. Therefore, this allegation is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Facility is not following their procedures when reports of insects are received. Facility staff stated the bed bugs were reported on a Sunday and staff recommended Resident 1 going to the hospital if he felt he needed medical care related to bugs in his room. Resident 1 did go to the hospital on Sunday. The facility maintenance staff also inspected Resident 1's room on Sunday and saw no traces of bed bugs. The facility staff stated they had no reason to believe Resident 1's room had bed bugs at this time which is why they did not move Resident 1 from his bedroom. Resident 1 feels the inspections done were not sufficient, and he should have been moved from his room on Sunday. The facility Administrator offered to move Resident 1 into a different room on Tuesday as he requested and Resident 1 declined this offer. LPA spoke with the pest control staff that came to the facility and inspected Resident 1's room. The pest control stated he did a thorough inspection of Resident 1's room and he does not feel Resident 1's room has bed bugs at all. The pest control staff stated he did not see any bugs at all in Resident 1's room. The pest control staff stated he does not feel the facility needs to take further action such as bringing the bug sniffing dogs to the facility. Therefore, this allegation is UNSUBSTANTIATED. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.



Per title 22 no deficiencies being cited during this visit. An exit interview was conducted with Sara Mackedsy and a copy of this report was left at the facility.




SUPERVISOR'S NAME: Stephenie DoubTELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah HurtTELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC9099 (FAS) - (06/04)
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