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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496801936
Report Date: 11/03/2022
Date Signed: 11/03/2022 12:48:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2022 and conducted by Evaluator Victoria Bertozzi
COMPLAINT CONTROL NUMBER: 21-AS-20220303094231
FACILITY NAME:LOVEJOY'S GREENHOUSEFACILITY NUMBER:
496801936
ADMINISTRATOR:LOVEJOY, MARTHAFACILITY TYPE:
740
ADDRESS:3260 HIDDEN VALLEY DRIVETELEPHONE:
(707) 526-7321
CITY:SANTA ROSASTATE: CAZIP CODE:
95404
CAPACITY:6CENSUS: 3DATE:
11/03/2022
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Licensee, Martha LovejoyTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Neglect/ lack of supervision resulting in resident sustaining an injury and bruising
Resident left in soiled diapers
INVESTIGATION FINDINGS:
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Licensing Program Analyst Bertozzi arrived unannounced to deliver findings regarding the above complaint allegations and met with Licensee, Martha Lovejoy.

During investigation the Department conducted interviews, reviewed documents and made observations.

Neglect/ lack of supervision resulting in resident sustaining an injury and bruising - Per investigation, resident, R1 was transported to the hospital due to having difficulty breathing. While at the hospital, R1 was diagnosed with a fracture. Per staff interviews, R1 requires assistance with all Activities of Daily Living including, but not limited to transferring in and out of bed. Staff do not recall resident falling or having another event that might result in a fracture. Based on information received during interviews and R1’s medical diagnosis, the cause of the fracture could not be determined.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Victoria Bertozzi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
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 21-AS-20220303094231
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: LOVEJOY'S GREENHOUSE
FACILITY NUMBER: 496801936
VISIT DATE: 11/03/2022
NARRATIVE
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Continued from LIC9099

Resident left in soiled diapers – Complaint alleges that resident appeared to have been left in a soiled incontinence brief for some time. No other details were provided. Interview with staff indicated that resident is checked at least once every two hours when they are turned as resident is unable to reposition themselves. Witness interviews indicated there were no concerns regarding the resident’s incontinence care.

A finding the complaint allegations of Neglect/ lack of supervision resulting in resident sustaining an injury and bruising and that resident was left in soiled diapers was unsubstantiated meaning that although the allegations may have happened there is not a preponderance of evidence to prove that the allegations occurred.

No deficiencies cited.
SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Victoria Bertozzi
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2