455002486-10-7-2022-25-AS-MSEY-CK4LQL-20221011085739

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002486
Report Date: 10/07/2022
Date Signed: 10/07/2022 01:32:33 PM

Unsubstantiated

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
06/06/2022 and conducted by Evaluator Shannon Diegoruelas

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20220606112531

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: 80	DATE:	10/07/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Pamela Eiszele, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Resident requested sun blocking film or shades for their window and the facility has not installed it in resident's room.

INVESTIGATION FINDINGS:

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10/07/2022 Licensing Program Analyst (LPA) Shannon Diegoruelas, made an unannounced visit to the facility and met with Pamela Eiszele, Administrator for the facility. The purpose of this visit was to deliver the results of the complaint investigation of the above allegations. Prior to initiating the visit, LPA completed required daily self-screening for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask. Additionally, LPA was screened by security.

During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. Interview with resident (R1) indicated that they spoke with facility management on multiple occasions requesting sun blocking film or shades be place in their bedroom window and believe they were ignored. Interview with the Administrator indicated that they were not aware of any request being made by R1 for sun blocking film or shades. The facility did not have any work orders prior to the complaint to provide to LPA indicating that a request had been made by R1. The facility opened a work order on 6/16/2022 to tint the windows in R1’s room. As of to date, the facility provided documentation to LPA indicating that the work order was completed on 6/21/2022.

Based on interviews conducted, LPA finds the allegation to be UNSUBSTANTIATED, a finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiencies were cited during today's visit. Exit interview was conducted and a copy of the report was provided to Administrator.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Shannon Diegoruelas	TELEPHONE: (530) 282-2393
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022

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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