455002675-2-21-2024-59-AS-KHOS-D32MST-20240304085227

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 455002675
Report Date: 02/21/2024
Date Signed: 02/21/2024 02:27:52 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
02/12/2024 and conducted by Evaluator Sarah Benson

COMPLAINT CONTROL NUMBER: 59-AS-20240212141923

FACILITY NAME:	REDBUD CARE HOME		FACILITY NUMBER:	455002675
ADMINISTRATOR:	SINGH, REEMA		FACILITY TYPE:	740
ADDRESS:	920 REDBUD DR		TELEPHONE:	(530) 241-8492
CITY:	REDDING	STATE: CA	ZIP CODE:	96001
CAPACITY:	7	CENSUS: 6	DATE:	02/21/2024
		UNANNOUNCED	TIME BEGAN:	01:33 PM
MET WITH:	Care Staff Naomi Alves		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Facility staff did not administer resident's medication as prescribed.
Medication Management.

INVESTIGATION FINDINGS:

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02/21/2024 1:30 PM Licensing Program Analyst (LPA) Sarah Benson, conducted an unannounced visit and met with Naomi Alves. The purpose of this visit was to open a complaint investigation. During today's visit the facility was toured, records were reviewed and interviews were performed.

LPA interview care staff Naomi Alves.. LPA requested the following documents during the visit: staff list with telephone numbers, client admission agreement, medical records, medical administration records, PRN records and incident reports.

Unfounded: Report was recorded at wrong facility.
No deficiencies cited. Exit interview conducted and a copy of the report was provided to care staff Naomi Alves.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Lauren Crocker	TELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Sarah Benson	TELEPHONE: 530-895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024

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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