500306146-4-15-2022-27-AS-SDOB-CDPQZL-20220421123655

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 500306146
Report Date: 04/15/2022
Date Signed: 04/15/2022 03:17:58 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, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/12/2022 and conducted by Evaluator Jason Lund

COMPLAINT CONTROL NUMBER: 27-AS-20220112093521

FACILITY NAME:	LAS PALMAS ESTATES		FACILITY NUMBER:	500306146
ADMINISTRATOR:	MILLER, KREGG		FACILITY TYPE:	740
ADDRESS:	1617 COLORADO		TELEPHONE:	(209) 632-8841
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95382
CAPACITY:	89	CENSUS: 86	DATE:	04/15/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Le Ann Blocker Resident Coordinator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff refused to care for resident

Staff did not treat resident with dignity or respect

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jason Lund arrived at the above facility unannounced to complete a complaint investigation regarding the above allegations. LPA Lund meet with Le Ann Blocker Resident Coordinator who called Administrator Kregg Miller and explained the reason for the visit.

Staff refused to care for resident- Based on interviews with staff, residents, witness and review of records. Resident (R1) does own Activities of Dailey Living (ADLS). R1 doesn’t need help with ADLS and gets help from staff when needed such medications, activities and meals. R1 stated that R1’s needs are being met and is ambulatory. R1 has in home health services as well. Residents interviewed stated that their needs are being met and never been refused care from staff. Staff interviewed stated they have never seen staff refuse care for residents in care. If so, would report it to management immediately.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Stephenie Doub	TELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Jason Lund	TELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2022

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 27-AS-20220112093521

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: LAS PALMAS ESTATES	FACILITY NUMBER: 500306146
	VISIT DATE: 04/15/2022

NARRATIVE

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Staff did not treat resident with dignity or respect - It was learned thorough interviews, with staff and residents. R1 gets help from staff when asked and has never felt mistreated from staff and never been refused any services while in care of the facility. Residents interviewed stated that staff treat them with dignity and never felt disrespected. Staff interviewed stated they have never seen staff mistreat any residents in care. If so, would report it to management immediately.

As a result of this investigation, this Department finds the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted with Le Ann Blocker Resident Coordinator and Administrator Kregg Miller over the phone and a copy of report was left.

SUPERVISOR'S NAME: Stephenie Doub	TELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Jason Lund	TELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2022

LIC9099 (FAS) - (06/04)

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