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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002633
Report Date: 07/08/2024
Date Signed: 07/08/2024 12:12:18 PM

Unfounded


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
06/11/2024 and conducted by Evaluator Ivan Avila
COMPLAINT CONTROL NUMBER: 59-AS-20240611103531
FACILITY NAME:A TOUCH OF HEAVENFACILITY NUMBER:
455002633
ADMINISTRATOR:PRATHER, SARAHFACILITY TYPE:
740
ADDRESS:760 KERRYJEN CTTELEPHONE:
(530) 226-5052
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:28CENSUS: 18DATE:
07/08/2024
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Sarah PratherTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff allege to have a relationship with a resident
The resident is scared to come out and be in the facility common areas
INVESTIGATION FINDINGS:
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On 07/08/2024 Licensing Program Analyst (LPA) Ivan Avila conducted an unannounced complaint investigation visit regarding the above allegations directed by the Department. LPA met with Sarah Prather and explained the purpose of the visit.

During the investigation process, interviews and a records review were initiated. LPA reviewed R1s physician report, and it states R1 has a Neurocognitive Disorder known as Dementia.

LPA investigated the allegation, “Staff allege to have a relationship with a resident.” Based on interviews conducted, staff stated that they never witnessed any inappropriate behavior between a staff member and a resident. R1s daughter stated that her mother suffers from dementia and has told her that staff members are there to care for her and she cannot go around saying the caregiver is her boyfriend. Interviews revealed that it is R1 that grabs ahold of the staff member and does not want to let go.
****Continued on LIC 9099-C****
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Ivan AvilaTELEPHONE: (559) 974-4915
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
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-20240611103531
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: A TOUCH OF HEAVEN
FACILITY NUMBER: 455002633
VISIT DATE: 07/08/2024
NARRATIVE
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LPA investigated the allegation, “The resident is scared to come out and be in the facility common areas.” Based on interviews conducted, R1 goes out to the facility common areas. R1 has dementia and sometimes she wants to stay in her room and staff have encouraged her to go out in the common areas. R1's daughter revealed that R1 has been in the facility common areas without any issues when she visits.

This agency has investigated the complaint alleging “Staff allege to have a relationship with a resident & The resident is scared to come out and be in the facility common areas.” We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted a copy of the report and appeal rights were provided.

SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Ivan AvilaTELEPHONE: (559) 974-4915
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2