435202301-2-8-2024-26-AS-KHOS-D36KN9-20240308070248

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202301
Report Date: 02/08/2024
Date Signed: 02/08/2024 04:54:47 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
04/27/2023 and conducted by Evaluator Grace Donato

PUBLIC

COMPLAINT CONTROL NUMBER: 26-AS-20230427151001

FACILITY NAME:	PALM VILLAS, CAMPBELL		FACILITY NUMBER:	435202301
ADMINISTRATOR:	SNEPER, GARRY		FACILITY TYPE:	740
ADDRESS:	3333 SOUTH BASCOM AVENUE		TELEPHONE:	(408) 559-8301
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY:	48	CENSUS: 37	DATE:	02/08/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Garry Sneper & Myra Belza		TIME COMPLETED:	05:10 PM

ALLEGATION(S):

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Facility A/C is in disrepair
Staff are not providing a comfortable environment for residents
Staff are restricting residents visitors from certain areas in the facility
Staff are not providing activities for residents

INVESTIGATION FINDINGS:

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On 2/8/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegations. LPA met with Administrator Garry Sneper & Office Manager Myra Belza. LPA explained the purpose of the visit.

Regarding the allegation that facility A/C is in disrepair, reporting party (RP) reported that while visiting the facility on 4/27/2023 around lunch time, there was no air conditioning on.

LPA interviewed a staff member (S1), and mentioned that the airconditioner did break down that day and a technician was called in to repair it. This was also confirmed by another staff S2, and stated that the technician came right away but that a part was needed to be ordered so the technician came back on Monday (05/01/2023) to finish the repair.There were fans provided for the residents to help with ventilation and alleviate the heat. The A/C that broke down is just on the dining area.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Jackie Jin	TELEPHONE: (714) 319-3786
LICENSING EVALUATOR NAME: Grace Donato	TELEPHONE: 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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Control Number 26-AS-20230427151001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA

FACILITY NAME: PALM VILLAS, CAMPBELL	FACILITY NUMBER: 435202301
	VISIT DATE: 02/08/2024

NARRATIVE

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Regarding the allegation of staff are not providing a comfortable environment for residents, RP stated that there were residents eating lunch outside in the heat and there was no staff around.

According to S2, residents don't have lunch outside unless there are activities. Residents can freely roam around the facility, whether just sit outside the patio or go around inside the facility. Facility has also enough staffing to be able to cater to the residents.

Regarding the allegation of staff are restricting residents visitors from certain areas in the facility, RP stated that visitors are not allowed to go in the dining room or the living room.

LPA confirmed with Administrator Garry Sneper that there hasn't been any restrictions since the facility was cited in January of 2023 for another complaint. The facility has been compliant with visitations. Facility only has suggestions and recommendations for family members when visiting the facility.

For the allegation of staff are not providing activities for residents, RP stated that there were no activities happening. RP stated that the residents were sitting around doing nothing. RP stated that there was no TV or anything else happening.

According to S2, the activity coordinator emails the staff for the activities to be done each month. The facility staff can't force the residents to join the activities if they are not up to it but they do certainly try to encourage residents. LPA also obtained the activities calendar during this month and it shows a full set of activities per day. LPA was able to interview a resident (R1) and stated that they like and enjoy the activities done in the facility. R1 also mentioned that sometimes they watch movies in the TV. LPA attempted to interview other residents but wasn't able to get answers due to cognitive issues.

Based on interviews and record reviews, the department has determined that the allegations are UNFOUNDED, meaning that although the allegations 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.

SUPERVISOR'S NAME: Jackie Jin	TELEPHONE: (714) 319-3786
LICENSING EVALUATOR NAME: Grace Donato	TELEPHONE: 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

LIC9099 (FAS) - (06/04)

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