455002049-11-30-2023-59-AS-KHOS-CYARGB-20231207120029

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002049
Report Date: 11/30/2023
Date Signed: 11/30/2023 01:36:03 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/15/2023 and conducted by Evaluator Ivan Avila

COMPLAINT CONTROL NUMBER: 59-AS-20230915104232

FACILITY NAME:	VISTAS ASSISTED LIVING & MEMORY CARE, THE		FACILITY NUMBER:	455002049
ADMINISTRATOR:	NATE ECHOLS		FACILITY TYPE:	740
ADDRESS:	3030 HERITAGETOWN DRIVE		TELEPHONE:	(530) 222-8969
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	100	CENSUS: 73	DATE:	11/30/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Nate Echols		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff are not providing adequate assistance to residents during meals

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On November 30, 2023, Licensing Program Analyst (LPA) Ivan Avila conducted an announced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Nate Echols and explained the reason for the visit.

During the investigation process interviews and a records review was initiated. LPA Avila reviewed R1s medical documentation and physician report. R1s physician report indicates that they do not need assistance with meals, but staff escorts R1 to every meal. According to R1’s physician’s report that was completed on 09/05/2023, R1 can feed self. R1 is ambulatory. The facility is to provide physical assistance to and from the dining room and or community activities as needed. LPA Avila reviewed staff schedules and sign in sheets and facility has sufficient staff.

Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Ivan Avila	TELEPHONE: (559) 974-4915
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

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 59-AS-20230915104232

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: VISTAS ASSISTED LIVING & MEMORY CARE, THE	FACILITY NUMBER: 455002049
	VISIT DATE: 11/30/2023

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

During the interview process it was stated that R1 would get up from the dinning table after staff would escort R1 to meals. R1 would get up and not sit still and staff redirected R1 to sit and eat. R1 would eat a couple bites of food then get up again and pace around the facility. Staff continued to redirect R1 to meals but R1 did not stay seated for long to eat. Staff would make R1 sandwiches so R1 could walk around and eat food. Staff also provided milk shakes to R1 and snacks if R1 did not finish their meal.

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, therefore the allegation is unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Nate Echols.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Ivan Avila	TELEPHONE: (559) 974-4915
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2