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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202301
Report Date: 02/08/2024
Date Signed: 02/08/2024 04:35:12 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/27/2023 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 26-AS-20230227092413
FACILITY NAME:PALM VILLAS, CAMPBELLFACILITY NUMBER:
435202301
ADMINISTRATOR:SNEPER, GARRYFACILITY TYPE:
740
ADDRESS:3333 SOUTH BASCOM AVENUETELEPHONE:
(408) 559-8301
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:48CENSUS: 37DATE:
02/08/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Garry Sneper & Myra BelzaTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is restricting visitation.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 2/8/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Administrator Garry Sneper & Office Manager Myra Belza. LPA explained the purpose of the visit.

Regarding the allegation of facility is restricting visitation, reporting party (RP) mentioned that since the facility has been in a COVID outbreak, they have restricted visitation. RP also stated that they have been unable to visit resident for many days.

During the investigation, LPA Heberle interviewed six responsible parties or family members. Five out of six mentioned that they were able to visit their loved once with no issue. One family member (F1) mentioned that visitation was not allowed but that message was a couple weeks or more ago. Administrator Garry Sneper also stated ever since the complaint on 01/11/2023, the facility has not restricted visitation in any capacity. He also stated that they had to take the exterior visitation tent down due to extreme winds, but that they still allowed all visitation indoors, including allowing family members of positive residents into the COVID positive wing of the facility.

LPA Donato obtained visitation logs around this time, and it showed that family members are able to visit the facility provided they get their temperature checked and with the suggestion of wearing a mask.

Based on interviews and record reviews, the department has determined that the allegation is UNFOUNDED, meaning that 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.

The report was reviewed, and a copy is provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jackie JinTELEPHONE: (714) 319-3786
LICENSING EVALUATOR NAME: Grace DonatoTELEPHONE: 714-293-8294
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
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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