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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455920054
Report Date: 11/18/2024
Date Signed: 11/18/2024 02:42:34 PM

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
09/30/2024 and conducted by Evaluator Farhaan Sarangi
COMPLAINT CONTROL NUMBER: 59-AS-20240930094205
FACILITY NAME:MERAKEY - OLD ALTURASFACILITY NUMBER:
455920054
ADMINISTRATOR:BATES, DAMEYAFACILITY TYPE:
735
ADDRESS:20785 OLD ALTURAS ROADTELEPHONE:
(530) 222-5633
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:5CENSUS: 5DATE:
11/18/2024
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Administrator, Dameya BatesTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Incontinence care is not being provided timely.
Meals are not being prepared and served to clients timely.
INVESTIGATION FINDINGS:
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On November 18, 2024 at approximately 10:00 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Merakey - Old Alturas for the purpose of delivering complaint findings. Upon arrival, LPA was greeted at the door by, Administrator, Dameya Bates, and was granted access into the facility.

During the course of the investigation, LPA reviewed facility records, client records, interviewed staff and clients in care.

Complaint alleges that Incontinence care is not being provided timely. Based on interviews that were conducted, LPA could not prove or disprove the above allegations. Furthermore, during interviewing, LPA received inconsistent statements. LPA conducted an interview with Client #1 and learned of no concerns as it relates to Incontinence care not being provided timely.

(Report continued on LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
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-20240930094205
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: MERAKEY - OLD ALTURAS
FACILITY NUMBER: 455920054
VISIT DATE: 11/18/2024
NARRATIVE
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Complaint alleges that Meals are not being prepared and served to clients timely. Based on interviews that were conducted, LPA could not prove or disprove the allegation. Furthermore, LPA received inconsistent statements as it relates to the allegations. LPA conducted a tour of the facility during the opening of the complaint on October 1, 2024, and found the facility to be clean and a staff member preparing food for the clients in care. LPA observed dishes that is indicative of clients eating food by the stains on the dishware that was observed. LPA conducted an interview with Client #1 and learned of no concerns as it relates to food service in the facility.

A finding that the complaint allegations of Incontinence care is not being provided timely and Meals are not being prepared and served to clients timely are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Administrator.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2