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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002486
Report Date: 10/04/2023
Date Signed: 10/04/2023 09:05:05 AM

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
07/25/2023 and conducted by Evaluator Ivan Avila
COMPLAINT CONTROL NUMBER: 59-AS-20230725151536
FACILITY NAME:VETERANS HOME OF CALIFORNIA-REDDINGFACILITY NUMBER:
455002486
ADMINISTRATOR:EISZELE, PAMELAFACILITY TYPE:
740
ADDRESS:3400 KNIGHTON ROADTELEPHONE:
(530) 224-3300
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:93CENSUS: 81DATE:
10/04/2023
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Pamela EiszeleTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Insufficient staff to meet resident needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/04/2023 Licensing Program Analysts (LPAs) Ivan Avila and Jaynae Boyles conducted an unannounced complaint investigation visit regarding the above allegation directed by the Department. LPA Avila met with Pamela Eiszele and explained the purpose of the visit.

During the interview process, five staff members and three residents were interviewed. In addition, a staff and resident roster list were reviewed, and a call log history was also reviewed.

During the interview process, it was stated that residents have three call buttons in their rooms. Once a resident presses their call button for help, staff respond within a couple of minutes. Resident interviews stated that staff are meeting their needs and there is sufficient staff at the facility but could be better.

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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 895-5033
LICENSING EVALUATOR NAME: Ivan AvilaTELEPHONE: 530-895-5033
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023
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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