496890095-3-7-2023-21-AS-HDBI-CPSU9E-20230310142257

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496890095
Report Date: 03/07/2023
Date Signed: 03/07/2023 04:06:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/28/2023 and conducted by Evaluator Dina Alviso

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20230228095509

FACILITY NAME:	ALLURE SENIOR CARE		FACILITY NUMBER:	496890095
ADMINISTRATOR:	SHAUGHNESSEY, MERA		FACILITY TYPE:	740
ADDRESS:	2008 DENNIS LANE		TELEPHONE:	(707) 843-4090
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95403
CAPACITY:	6	CENSUS: 6	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Mera Shaughnessey-Administrator		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Facility staff is not maintaining a comfortable room and facility temperature for residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) Alviso conducted a complaint visit, at about 9:20am on 3/7/23, and met with Administrator Mera Shaughnessey. There are six(6) residents in care. There was another caregiver observed by the LPA that was working with the Administrator.

The LPA toured the facility with the Administrator. The LPA reviewed resident records, and reviewed staff records, including training; The LPA interviewed staff and residents in care. The LPA observed upon entering the home that it was heated; LPA observed the residents in the living room watching television, observed to be clean, and dressed appropriately. LPA toured the resident rooms and found the resident rooms to be at a comfortable temperature. LPA observed a small portable heater with a fan that was designated to a resident's room for use as needed by the resident. There are two heater controls, one in the kitchen and one in the hallway by resident rooms.
Continued on LIC9099C..

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Hope DeBenedetti	TELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Dina Alviso	TELEPHONE: (707) 588-5082
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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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Control Number 21-AS-20230228095509

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ALLURE SENIOR CARE	FACILITY NUMBER: 496890095
	VISIT DATE: 03/07/2023

NARRATIVE

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All staff have access to the key to open the plastic box that covers the heater control pad, staff can adjust the heat as needed. Administrator stated it is set to 72 and/or 74, and adjusted as needed. Staff check with residents to see if there is any adjustment needed. so that only staff have access to control it, so it is not moved up and down by everyone. Administrator stated that there is a portable heater to use as an extra heat device, and it is in use as needed.
LPA reviewed records of staff and residents. LPA interviewed staff and residents. The LPA toured the facility and observed all residents and facility rooms. Per interviews, the facility staff(S1) stated to the LPA that the facility is kept warm as needed, if the residents are cold staff adjust heat and/or will use the portable heater if it is one resident is needing more heat. Per staff(S2) they have access to the key to open and adjust the heat if needed. All staff have access if on duty to adjust the heat. Per all interviews conducted by the LPA, the interviews revealed that the facility was warm for them at the time of the visit. LPA observed a room with a small portable heater, and asked the staff to turn it on, the LPA observed the heater to immediately start distributing additional heat all around the room. The staff (S1) stated that they can purchase more portable heaters but it is not needed by any others, if needed the staff(S1) stated they will purchase more but at this time it is not needed. Per Regulation 87303 (b)(1) Maintenance and Operation, the facility is to maintain a comfortable temperature at all times. facilities are to heat rooms that residents occupy to a minimum of 68 degree F.(20 degrees C). The home temperature was at 74 degrees F at the closing of this report.

Based on the records reviewed, conducted interviews, and LPA's observations, there is no evidence to support the allegation was violated. The investigation revealed that there is differing information regarding the allegation. The allegation of "facility staff is not maintaining a comfortable room and facility temperature for residents" is Unsubstantiated.

After the Departments review of records, observations, and interviews, the allegation is UNSUBSTANTIATED, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies cited during todays visit.
Exit interview was conducted with the Administrator by phone. Staff on duty signed the report.

SUPERVISOR'S NAME: Hope DeBenedetti	TELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Dina Alviso	TELEPHONE: (707) 588-5082
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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