515000683-9-27-2023-59-AS-KHOS-CWWFXP-20231024045305

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 515000683
Report Date: 09/27/2023
Date Signed: 09/27/2023 10:19:15 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2023 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20230825101845

FACILITY NAME:	COURTYARD, THE		FACILITY NUMBER:	515000683
ADMINISTRATOR:	BRANDY STRAHL		FACILITY TYPE:	740
ADDRESS:	1240 WILLIAMS WAY		TELEPHONE:	(530) 790-3050
CITY:	YUBA CITY	STATE: CA	ZIP CODE:	95991
CAPACITY:	80	CENSUS: 56	DATE:	09/27/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jamie Scott		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff spoke inappropriately to resident

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

LPA Hiratsuka, conducted this unannounced complaint visit to deliver the findings of the allegation above.

LPA interviewed staff and the resident in question. The staff in question denied there was any ill intent when they approached the resident. The resident stated they were started by the way the staff person approached them and felt humiliated. The staff person has a naturally loud voice and can be boisterous at times and there was a discussion between LPA and the staff person about the voice volume. LPA was unable to contact any witnesses to the event.

LPA cannot prove or disprove the allegation because each side has their own version of events.

Due to the information gathered, LPA cannot determine the Staff spoke inappropriately to resident. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Troy Ordonez	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR NAME: Kerry Hiratsuka	TELEPHONE: (916) 591-0210
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3