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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 340313383
Report Date: 03/23/2022
Date Signed: 03/23/2022 05:06:49 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, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/10/2022 and conducted by Evaluator Sabrina Calzada
PUBLIC
COMPLAINT CONTROL NUMBER: 25-AS-20220110100005
FACILITY NAME:ESKATON VILLAGEFACILITY NUMBER:
340313383
ADMINISTRATOR:KLICK, GREGFACILITY TYPE:
741
ADDRESS:3939 WALNUT AVETELEPHONE:
(916) 974-2000
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:500CENSUS: 53DATE:
03/23/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Erik Olson, Assistant Executive Director and Evelyn Stinebaugh, Resident Care CoordinatorTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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Staff do not respond timely to the residents call alerts while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conclude the investigation and deliver complaint findings to a complaint received on 1/10/2022. LPA met with Erik Olson, Assistant Executive Director and Evelyn Stinebaugh, Resident Care Coordinator. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the facility. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE): KN95 mask.

During the course of the investigation, LPA interviewed Assistant Executive Director, Memory Care Director, (2) Med-Tech/caregivers and (3) residents in Assisted Living Unit. LPA reviewed records of call button/pendant response times for Assisted Living Unit and quarterly survey results for Q42021 and Q12022.

The results of the investigation are as follows:

cont on 9099C..
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
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 25-AS-20220110100005
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: ESKATON VILLAGE
FACILITY NUMBER: 340313383
VISIT DATE: 03/23/2022
NARRATIVE
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Allegation: Staff do not respond timely to the residents call alerts while in care

Complaint alleges that a resident used their pendant to call for assistance on several occasions in January 2022 and staff took over an hour to respond to each call. The specific resident's name was not provided.

Interviews with Med-Tech/caregiver staff indicated that staff works as a team, regardless of which hall they are assigned to, with one staff stating "the lights belong to all of us". Staff also indicated that pendant calls can be "random", many calls are for non-emergencies and pendant response times can vary, with mornings being the busiest, and they are not aware that it has ever taken staff an hour to respond. Staff stated that when a resident pendant button is pushed, it will send an alert to their pagers immediately and to the
front desk receptionist at the same time, who will assist by announcing on staff radios that a particular resident has asked for help. Staff confirmed there is not a receptionist at the desk on evenings and weekends to check for call lights with one staff stating if she sees that a call light is not being answered timely, she will announce it on the radio for other care staff to respond to.

One staff stated that the response times for March 2022 have been shorter due to an extra person or "floater" assisting caregivers. Staff indicated that on the morning and evening shifts, there are always 4-5 staff on shift and there are always at least 2 staff, 1 caregiver and 1 Med-Tech, during the overnight shift. Another staff confirmed that sometimes staff will forget to clear a pendant after the call has been answered which could reflect a longer response time in the system.

Residents interviewed stated it depends on how busy staff is and how many staff are working with another resident stating he has not had to wait more than 30 minutes and some calls are answered in as few as 5 minutes. All residents interviewed indicated they have never had to wait for an hour for assistance.
Documentation reviewed of pendant response times for period 1/1/2022- 1/14/2022 show an average response time of 10 minutes. Additional documentation reviewed is from 207 combined resident and resident representatives surveyed for period 10/1/2021- 1/27/2022, which reflects a 94% overall satisfaction rate with staff responsiveness to residents' needs ranking 95-98% percent.

Based on information obtained, LPA finds the allegation to be Unsubstantiated- Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

Exit interview with Resident Care Coordinator. Copy of report provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:

DATE: 03/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2022
LIC9099 (FAS) - (06/04)
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