552700409-9-16-2020-27-AS-CACL-BTPMSG-20200922095151

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 552700409
Report Date: 09/15/2020
Date Signed: 09/16/2020 07:50:44 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
08/14/2020 and conducted by Evaluator Bruce Jacobs

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20200814151053

FACILITY NAME:	SONORA SENIOR LIVING		FACILITY NUMBER:	552700409
ADMINISTRATOR:	KATRYNA HUNT		FACILITY TYPE:	740
ADDRESS:	18760 CHABROULLIAN LN		TELEPHONE:	(209) 984-5124
CITY:	JAMESTOWN	STATE: CA	ZIP CODE:	95327
CAPACITY:	90	CENSUS: 29	DATE:	09/15/2020
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Katryna Hunt, Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff are withholding resident's (R-1) access to receive telephone calls.

Facility does not have planned activities for the residents.

INVESTIGATION FINDINGS:

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LPA Bruce Jacobs contacted Facility Administrator Katryna Hunt by phone to complete this complaint investigation and deliver findings regarding the allegations listed above.

The investigation consisted of interviews of the Administrator, the resident (R-1) and other witnesses. LPA requested, obtained and reviewed facility records. Interviews with the Facility Administrator and the resident determined that the resident (R-1) was able to both make and receive calls at the facility. Other witnesses provided information that the resident had been denied use of the phone. Interviews and activity schedules also document that activities are provided and offered to residents.

The investigation concluded through interviews and records that there was not sufficient evidence to prove with a preponderance of evidence that the resident (R-1) did not have access to receive telephone calls and that the facility does not have planned activities for the residents. For this reason, this allegations are determined to be UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Bruce Jacobs	TELEPHONE: (916) 956-5861
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2020

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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