455002486-1-17-2023-25-AS-KHOS-CN8N25-20230119090408

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002486
Report Date: 01/17/2023
Date Signed: 01/17/2023 10:28:56 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/04/2022 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20221004151723

FACILITY NAME:	VETERANS HOME OF CALIFORNIA-REDDING		FACILITY NUMBER:	455002486
ADMINISTRATOR:	EISZELE, PAMELA		FACILITY TYPE:	740
ADDRESS:	3400 KNIGHTON ROAD		TELEPHONE:	(530) 224-3300
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	93	CENSUS: 82	DATE:	01/17/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	PAMELA EISZELE		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility stopped delivering packages to residents.

INVESTIGATION FINDINGS:

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Donna Gurriere, Licensing Program Analyst was in contact and met with , Pamela Eiszele, Administrator. Allegation is in regard to Facility stopped delivering packages to residents.

LPA Gurriere completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID 19 infection to affirm no COVID-19 related symptoms. The administrator/staff person was contacted to complete a facility risk assessment. LPA Gurriere ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical mask. Additionally, LPA Gurriere was screened by a staff person upon entering the facility.

continued

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

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 25-AS-20221004151723

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: VETERANS HOME OF CALIFORNIA-REDDING	FACILITY NUMBER: 455002486
	VISIT DATE: 01/17/2023

NARRATIVE

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During the investigation documents were obtained. A letter was sent to the residents that read “Effective Wednesday September 14, 2022, packages will no longer be delivered to you. Staff will have packages available for you to pick up at the Hall of Honors. The time will be 1530-1600 Monday through Friday. If you are not available to pick up, the package will be available the following day at the same time. This will exclude any holidays that may fall during the week. We are attempting to streamline processes. This will allow staff to gather all deliveries received. If you should have any questions, please see staff. Thank you for your kind consideration in this matter.” The letter was signed by the administrator.

A concern was raised in that there could be some residents that were nonambulatory that could not carry their packages if they were using a walker or a wheelchair. The directive was in place from 09/14/22 through 10/18/22.

The administrator advised that those residents that were nonambulatory would have assistance from the care providers in getting their packages; however, that was not stated in the initial letter.

Regulations state in part that residents are to receive unopened correspondence in a prompt manner. Residents were advised that they would be responsible to collect their own packages and therefore may not have received their packages in a prompt manner.

Based on LPAs review, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be Substantiated. California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D.

Appeal Rights were explained and provided to the facility representative listed above and an exit interview was conducted.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

LIC9099 (FAS) - (06/04)

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Control Number 25-AS-20221004151723

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: VETERANS HOME OF CALIFORNIA-REDDING	FACILITY NUMBER: 455002486
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/17/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 01/18/2023 Section Cited CCR 87468.1(15)	1 2 3 4 5 6 7	Personal Rights of Residents in All Facilities - To send and receive unopened correspondence in a prompt manner. The licensee did not ensure that this requirement was met as evidenced by a letter that was provided to the residents indicating that they would be responsible to obtain their own packages.	1 2 3 4 5 6 7	On 10/18/22, the administrator changed the policy in that packages were delivered to the residents’ rooms by the care providers. No further plan of correction is required.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

LIC9099 (FAS) - (06/04)

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