435202710-5-2-2024-26-AS-JJIN-D6LVLR-20240626163220

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202710
Report Date: 05/02/2024
Date Signed: 05/02/2024 07:06:51 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
12/27/2022 and conducted by Evaluator Grace Donato

PUBLIC

COMPLAINT CONTROL NUMBER: 26-AS-20221227113645

FACILITY NAME:	VILLAS AT SARATOGA SKILLED NURSING & ASST LVG, THE		FACILITY NUMBER:	435202710
ADMINISTRATOR:	WILLIAMS, RYAN		FACILITY TYPE:	740
ADDRESS:	20400 SARATOGA LOS GATOS RD		TELEPHONE:	(408) 741-2950
CITY:	SARATOGA	STATE: CA	ZIP CODE:	95070
CAPACITY:	74	CENSUS: 31	DATE:	05/02/2024
		UNANNOUNCED	TIME BEGAN:	09:16 AM
MET WITH:	Josephine Almonte & Josh Nabrotzky		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff are not ensuring that the facility phone system is in working order.

INVESTIGATION FINDINGS:

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On 5/2/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint investigation visit. LPA met with the Director of Staff Development (DSD), Josephine Almonte & Administrator in Training (AIT), Josh Nabrotzky. LPA explained the purpose of today's visit.

Regarding the allegation of staff are not ensuring that the facility phone system is in working order, reporting party (RP) stated that telephone service was not working December 15 through 17, 2022 and then on December. No one is answering the main facility number.

LPA interviewed Administrator Travis Clawson and he stated that there wasn’t any disruption of phone services during this time. Aside from the phone numbers posted, the responsible parties know who else to contact if no one is answering the main line. LPA also interviewed AIT and it was mentioned that if there were issues like power outages, the facility uses an application called Clinic Connect where they can send updates straight to family members. DSD also mentioned that contact numbers of staff in the facility are provided to responsible parties upon moving in of a resident.

LPA observed postings of phone numbers in bulletin boards and elevators whom family members or responsible parties can contact if the mainline is not available. There were also no incident reported of any outages during this time.

Based on interviews, the department has determined that that the allegations were false, could not have happened and/or is without a reasonable basis, therefore the allegations are UNFOUNDED.

Report is reviwed and copy is provided.

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: 05/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024

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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