507005604-4-16-2021-27-AS-SRIN-C293N7-20210419182326

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 507005604
Report Date: 04/16/2021
Date Signed: 04/16/2021 11:17:36 AM

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
04/01/2021 and conducted by Evaluator Ruth Wallace

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20210401094029

FACILITY NAME:	ASTORIA AT OAKDALE		FACILITY NUMBER:	507005604
ADMINISTRATOR:	LETICIA HIGARES		FACILITY TYPE:	740
ADDRESS:	700 LAUREL AVE		TELEPHONE:	(209) 847-0864
CITY:	OAKDALE	STATE: CA	ZIP CODE:	95361
CAPACITY:	45	CENSUS: 36	DATE:	04/16/2021
		UNANNOUNCED	TIME BEGAN:	10:43 AM
MET WITH:	Telephone - Administrator Assistant Jacqueline Hernandez Due to Precautions for COVID-19		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Facility does not have planned activities for residents in care.
Facility does not hold Resident Council Meetings.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Wallace contacted the facility via telephone to conclude a complaint investigation due to COVID-19 and pre-cautionary measures. LPA identified herself and discussed the purpose of the call and the allegations with the Administrator Assistant.

It was alleged facility does not have planned activities for residents in care. Based on LPA interview with administrator and record review; the facility has planned activities for residents in care following the regulations and guidelines of Community Care Licensing (CCL). During the pandemic COVID-19 the facility followed the Provider Information Notices (PIN's) sent out to Providers during COVID-19 regarding not having planned activities. Phase One and Phase Two of re-opening after COVID-19 outbreak, the facility followed the guidelines on infection control. Facility followed instructions when to re-open and allow small groups again according to PIN's, and Policies. Facility followed the PIN's and guidelines of CCL regarding planned activities, therefore the allegation was deemed UNFOUNDED. This agency has investigated the allegation noted above and have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or was without a reasonable basis. We have therefore, dismissed the complaint.
Continued on 9099-C

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 253-4746
LICENSING EVALUATOR NAME: Ruth Wallace	TELEPHONE: (619) 323-4509
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021

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-20210401094029

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: ASTORIA AT OAKDALE	FACILITY NUMBER: 507005604
	VISIT DATE: 04/16/2021

NARRATIVE

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Continued from 9099 - Page 2

It was alleged facility does not hold Resident Council Meetings. Based on interview with administrator and record review the facility did not hold resident council meetings following the regulations and guidelines of Community Care Licensing (CCL). During the pandemic COVID-19 the facility followed the Provider Information Notices (PIN's) sent out to Providers during COVID-19 regarding not having gatherings or small groups. Phase One and Phase Two of re-opening after COVID-19 outbreak, the facility followed the guidelines on infection control. Facility followed the PIN's and guidelines of CCL regarding not having resident council meetings or gatherings, therefore the allegation was deemed UNFOUNDED. Therefore the allegation is deemed UNFOUNDED. This agency has investigated the allegation noted above and have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or was without a reasonable basis. We have therefore, dismissed the complaint.

An exit interview was conducted with Administrator Assistant via telephone and a copy of this report LIC 9099, LIC 9099-C and Appeal Rights was provided to the via email and an electronic email read receipt confirms receiving these documents. Administrator Assistant will send 9099 and 9099-C back via email signed to LPA Wallace.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 253-4746
LICENSING EVALUATOR NAME: Ruth Wallace	TELEPHONE: (619) 323-4509
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021

LIC9099 (FAS) - (06/04)

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