455002633-3-29-2021-25-AS-KHOS-BZMQ6M-20210331115346

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002633
Report Date: 03/29/2021
Date Signed: 03/29/2021 11:41:00 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/21/2020 and conducted by Evaluator Donna Gurriere

COMPLAINT CONTROL NUMBER: 25-AS-20201221150240

FACILITY NAME:	A TOUCH OF HEAVEN		FACILITY NUMBER:	455002633
ADMINISTRATOR:	PRATHER, SARAH		FACILITY TYPE:	740
ADDRESS:	760 KERRYJEN CT		TELEPHONE:	(530) 226-5052
CITY:	REDDING	STATE: CA	ZIP CODE:	96002
CAPACITY:	28	CENSUS: 19	DATE:	03/29/2021
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	SARAH PRATHER		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Activities are not provided for residents.
Resident’s may not be getting their medications.

INVESTIGATION FINDINGS:

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Donna Gurriere, Licensing Program Analyst (LPA) was in contact with Sarah Prather, Administrator. A physical visit could not be made due to the orders in place regarding the Covid 19 Virus. It was alleged that Activities are not provided for residents and Resident’s may not be getting their medications.

Activities are not provided for residents. The administrator, seven care provider staff and two residents were interviewed. In addition, documents received and reviewed included the Physician’s Reports, Admission Agreements and the Medication Administration Records (MARs) for three residents.

**continued**

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2021

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 3

Control Number 25-AS-20201221150240

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: A TOUCH OF HEAVEN	FACILITY NUMBER: 455002633
	VISIT DATE: 03/29/2021

NARRATIVE

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**continued**

During the month of December 2020, it was reported that activities had slowed down, were limited and residents could not gather in a common space due to the state restrictions in place for the reason of the Covid Virus. The Admission Agreements for the three residents were reviewed and indicated on the contract that the facility would provide activities for the residents. It was reported that staff and residents have been vaccinated for the Covid Virus, restrictions have been lifted; therefore, activities have resumed daily. Activities provided include review of the daily chronical, Bingo, arts and crafts, exercise, crossword puzzles, food activities, movies and popcorn, balloon toss and ice cream socials. It was also reported by staff and residents that some residents “choose” not to participate in daily activities. One resident reported that “It isn’t my thing.” Residents have personal rights to choose if they want to participate in activities or not.

Based on the information obtained and interviews conducted, the above allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated.

Residents may not be getting their medications. The administrator, seven care provider staff and two residents were interviewed. In addition, documents received and reviewed included the Physician’s Reports, Admission Agreements and the Medication Administration Records (MARs) for three residents.

**continued**

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 25-AS-20201221150240

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: A TOUCH OF HEAVEN	FACILITY NUMBER: 455002633
	VISIT DATE: 03/29/2021

NARRATIVE

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**continued**

During the month of December 2020, it was reported that residents were not getting their medications. Staff and residents were interviewed and there was no indication by anyone that residents were not getting their medications. Residents that were interviewed indicated that to their knowledge they were getting their medications in a timely manner and one resident reported that “There is no problem with me getting my medications” and that “Staff take really good care of us.” In addition, a review of the MARs document was conducted, and it did not reflect residents not getting their medications, as required.

Based on the information obtained and interviews conducted, the above allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are Unsubstantiated.

SUPERVISOR'S NAME: Rayna L Bryson	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Donna Gurriere	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3