502700235-9-18-2020-27-AS-SDOB-BU4UDV-20201005153009

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 502700235
Report Date: 09/18/2020
Date Signed: 09/18/2020 01:47:26 PM

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
06/11/2020 and conducted by Evaluator Anthony Tuck

COMPLAINT CONTROL NUMBER: 27-AS-20200611162702

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: 59	DATE:	09/18/2020
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Mary Keaton		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff denying resident access to personal phone calls

INVESTIGATION FINDINGS:

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Allegation: Staff denying resident access to personal phone calls
Licensing Program Analyst (LPA) Anthony Tuck contacted Administrator Mary Keaton on this day to conclude a complaint investigation via telephone due to COVID-19 and pre-cautionary measures. A physical visit was not conducted in that the Department is not conducting Residential Care for the Elderly visits at this time, due to the COVID-19 virus.
During the investigation, LPA Tuck conducted one interview with the Administrator, one interview with a witness, two interviews with the Responsible Party and three staff interviews. The allegation is the facility staff denied the resident access to personal phone calls.
It was alleged that the resident was denied the right to receive phone calls from family due to still being upset after being placed in a care facility. LPA Tuck also obtained pertinent documents from the facility such as a staff roster, and an activity schedule from the month of June 2020.
Continued on 9099c....

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephenie Doub	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Anthony Tuck	TELEPHONE: (916) 708-6203
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

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-20200611162702

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: 09/18/2020

NARRATIVE

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It was learned from an interview with the Administrator that they do not have any policy to restrict calls from family to residents when they first enter the facility. Based on interviews with the Administrator, Staff 1, Staff 2 and Staff 3, residents can accept phone calls and are assisted by staff with the telephone. If the residents are doing an activity or if during a meal or sleeping the staff will take a message and assist the resident to call the family member back. During an interview with the Residents Responsible Party, LPA Tuck learned during an interview that the Responsible Party asked the facility to restrict calls to the resident from the resident’s other daughter.
LPA Tuck also learned that the request was not carried out by the facility based upon interviews with facility staff.

Based on interviews, and documentation reviewed from the facility, the Department (CCLD) has found the allegation of the facility staff denying the resident access to phone calls, Unsubstantiated. A finding that the complaint allegation(s) is UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted with Administrator Mary Keaton via telephone and a copy of 9099, 9099-C's, Appeal Rights, and 811(Confidential Names) was provided to Mary via email, an electronic email read receipt confirms receiving these documents. Administrator will sign 9099, 9099-C's and send back electronic email to LPA Tuck on today's date.

SUPERVISOR'S NAME: Stephenie Doub	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Anthony Tuck	TELEPHONE: (916) 708-6203
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2020

LIC9099 (FAS) - (06/04)

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