502700165-11-22-2021-27-AS-KHOS-C9ARRA-20211201121450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 502700165
Report Date: 11/22/2021
Date Signed: 11/22/2021 06:34:45 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
06/10/2021 and conducted by Evaluator Jason Lund

COMPLAINT CONTROL NUMBER: 27-AS-20210610101319

FACILITY NAME:	PRESTIGE CARE CENTER LLC		FACILITY NUMBER:	502700165
ADMINISTRATOR:	MCNEAL, TANISHA		FACILITY TYPE:	735
ADDRESS:	474 SUNDAY DR		TELEPHONE:	(209) 443-7707
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95382
CAPACITY:	6	CENSUS: 4	DATE:	11/22/2021
		UNANNOUNCED	TIME BEGAN:	06:00 PM
MET WITH:	Administrator Tanisha McNeal		TIME COMPLETED:	07:00 PM

ALLEGATION(S):

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Staff speak inappropriately to resident(s) in care.
Food services are inadequate.
Staff use inappropriate forms of discipline with residents in care.
Staff restricting resident's telephone use.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jason Lund conducted an unannounced visit to deliver findings for a complaint investigation. LPA met with Tanisha McNeal and explained the purpose of today's visit.

The investigation included, reviewing resident files and staff records. LPA also interviewed care home staff, witnesses and clients.

During the course of the investigation, LPA conducted interviews with staff and witness and clients. Client (C1) Valley Mountain Regional Center Individual Program Plan (IPP) dated 5/3/2019 states that C1 will continue to monitor C1’s anger and frustration. When Client (C1) gets flustered C1 will stutter. C1 believed that a staff member of the facility mocked C1 when C1 was upset. During the interviews process of the investigation C1 admitted staff might have been trying to ask C1 a question or trying to calm C1 down when C1 gets upset. LPA interviewed staff, would have reported to Administrator Tanisha McNeal if a staff member would have mocked C1 or any other clients.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

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-20210610101319

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: PRESTIGE CARE CENTER LLC	FACILITY NUMBER: 502700165
	VISIT DATE: 11/22/2021

NARRATIVE

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The allegation indicates that the facility didn’t have adequate food at the facility. It was reported that the facility didn’t have enough food and the food was not fresh. LPA Lund was at the facility on 6/16/2021 and the facility did have two-day perishable and seven-day non-perishable food supply on hand. LPA interviewed staff, witnesses and clients and all stated the facility has enough food on hand.

Based on interviews of staff, clients and witness there was no inappropriate forms of discipline to the clients in care at the facility reported to the Administrator. It was reported that the facility staff would send clients to their rooms and was told they could not come out their room until told. The administrator Tanisha McNeal stated that the clients are free to go through out facility.

Based on interviews of staff, clients and witness there are no restrictions on client’s use of the facility phone. The clients are aloud to use the house phone throughout the day. The facility was getting told that when someone would call the facility often no one would answer. The facility did tell clients families if they could wait until the afternoon to call the clients it would be better. The facility would not stop any client or client family from using or calling the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview held and copy of report provided to administrator.

SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2021

LIC9099 (FAS) - (06/04)

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