<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002049
Report Date: 07/08/2020
Date Signed: 07/08/2020 01:25:17 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/16/2020 and conducted by Evaluator Pheej Cheng
COMPLAINT CONTROL NUMBER: 25-AS-20200416081858
FACILITY NAME:VISTAS ASSISTED LIVING & MEMORY CARE, THEFACILITY NUMBER:
455002049
ADMINISTRATOR:ROBINSON, IZABELA EFACILITY TYPE:
740
ADDRESS:3030 HERITAGETOWN DRIVETELEPHONE:
(530) 222-8969
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:100CENSUS: 75DATE:
07/08/2020
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Izabela Robinson; AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Complainant has not received refund on pro-rated rent after resident's death.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/8/2020 at 12:30 PM, Licensing Program Analyst (LPA) Cheng conducted an unannounced complaint investigation telephone call regarding the allegations above and spoke to Administrator Izabela Robinson. A telephone call was made in compliance to the department’s procedures regarding COVID-19.

Based on documents and statements received, LPA determined that R1’s remaining balance owed was paid out to R1’s responsible party on 4/13/2020. RP contacted LPA on 4/18/2020 and stated R1’s responsible party had received R1’s owed balance from the facility.

Continuation on LIC 9099C.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Julio MontesTELEPHONE: (510) 286-0518
LICENSING EVALUATOR NAME: Pheej ChengTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2020
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 25-AS-20200416081858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: VISTAS ASSISTED LIVING & MEMORY CARE, THE
FACILITY NUMBER: 455002049
VISIT DATE: 07/08/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
This agency has investigated the complaint allegations listed above. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted and a copy of report was e-mailed to facility.
SUPERVISOR'S NAME: Julio MontesTELEPHONE: (510) 286-0518
LICENSING EVALUATOR NAME: Pheej ChengTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2