502700235-10-14-2022-27-AS-KHOS-CKCL2S-20221019082249

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 502700235
Report Date: 10/11/2022
Date Signed: 10/14/2022 02:38:30 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
09/07/2022 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 27-AS-20220907164059

FACILITY NAME:	EL RIO MEMORY CARE COMMUNITY		FACILITY NUMBER:	502700235
ADMINISTRATOR:	KEATON, MARY		FACILITY TYPE:	740
ADDRESS:	2828 HEALTHCARE WAY		TELEPHONE:	(209) 543-3805
CITY:	MODESTO	STATE: CA	ZIP CODE:	95356
CAPACITY:	72	CENSUS: 69	DATE:	10/11/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Facility lead Nurse, Robin Mendez		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are not properly trained to deal with resident
Resident left in soiled diapers
Resident got into an altercation with another resident due to lack of supervision

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on a complaint investigation. LPA Hurt met with facility lead nurse Robin Mendez and explained the purpose of today's visit.
Regarding the allegation facility staff are not properly trained to deal with resident. Based on interviews and records reviewed the staff are properly trained to deal with dementia residents. LPA reviewed facility training documents that reflects the facility staff is receiving the required dementia training needed to assist facility dementia residents. LPA interviewed six facility staff who stated they were given training upon hiring, and they are also given 12 hours training annually including shadowing, class work, and videos. LPA reviewed facility training documents to include quizzes given to facility staff throughout the year about dementia. The facility staff interviewed all explained different techniques used to re direct residents, keep residents busy, and assist the residents when they are having behaviors.

Continued on 9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephenie Doub	TELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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-20220907164059

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: EL RIO MEMORY CARE COMMUNITY	FACILITY NUMBER: 502700235
	VISIT DATE: 10/11/2022

NARRATIVE

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...Continued from 9099

Therefore, this allegation is UNSUBSTANTIATED. A finding that a complaint is 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 did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Resident left in soiled diapers. Based on LPA interviews the facility is not leaving residents in soiled diapers. LPA interviewed six facility staff who all stated Resident 1 does at times refuse her incontinent care, but they use their training to try different approaches and to get her to allow them to assist her. Staff stated the techniques used include finding a different staff to assist Resident 1 so they can see a new face, come back and ask Resident 1 again later if they would like to be assisted, approach Resident 1 when they do not appear to be agitated, and give Resident 1 her baby dolls to keep her busy and distracted with a task. The facility staff agrees despite Resident 1 refusing incontinent care at times she does eventually allow them to assist with incontinent care using the different approaches and she is not being left soiled for extended periods of time, therefore the allegation is UNSUBSTANTIATED. A finding that a complaint is 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 did or did not occur, therefore the allegation is unsubstantiated.

Regarding the allegation Resident got into an altercation with another resident due to lack of supervision. LPA spoke with staff 1 who stated they witnessed Resident 1 aggressively hit Resident 2 on top of the head after trying to remove her lap buddy several times. Staff 1 mentioned facility Staff 2 also witnessed this altercation. Staff 2 stated she observed Resident 1 was pulling on Resident 2’s lap buddy and staff redirected Resident 1 away from Resident 2. Staff 2 stated during the process of being redirected Resident 1 moved her arms above her head and accidentally grazed Resident 2’s hair. Staff 2 stated the interaction was not what they would consider to be an assault or aggressive at all. Staff 2 stated the incident doesn’t stand out too well in her memory because it was so minor. Due to the conflicting details given by both Staff witnesses this allegation is UNSUBSTANTIATED. A finding that a complaint is 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 did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited today Per Title 22 Regulations.

Exit interview conducted with Facility lead Nurse Robin Mendez and copy of report provided.

SUPERVISOR'S NAME: Stephenie Doub	TELEPHONE: (916) 263-2131
LICENSING EVALUATOR NAME: Sarah Hurt	TELEPHONE: (916) 879-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC9099 (FAS) - (06/04)

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