342700157-4-15-2024-59-AS-LMUZ-D4VUP7-20240502154504

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700157
Report Date: 04/15/2024
Date Signed: 04/15/2024 12:50:12 PM

Unfounded

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
02/16/2024 and conducted by Evaluator Talwinder Bains

COMPLAINT CONTROL NUMBER: 59-AS-20240216085138

FACILITY NAME:	CHALET, THE		FACILITY NUMBER:	342700157
ADMINISTRATOR:	SUSIE DIZON		FACILITY TYPE:	740
ADDRESS:	6487 MAIN STREET		TELEPHONE:	(925) 787-2740
CITY:	ORANGEVALE	STATE: CA	ZIP CODE:	95662
CAPACITY:	41	CENSUS: 29	DATE:	04/15/2024
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Administrator, Maria Susie Dizon		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

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Staff are not providing adequate food service for residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced on 04/15/24 to deliver complaint findings for the above allegation. LPA met with administrator, Maria Susie Dizon, and explained the purpose of the visit.

Staff are not providing adequate food service for residents.-UNFOUNDED
An investigation has been conducted regarding the above allegation. LPA observed the facility food supply as well as interviewed residents regarding the food service. Based on observation and interviews, the facility keeps the required amount of food supply in the facility. Additionally, resident interviews indicated that residents are satisfied with the food service at the facility and feel that they have enough food to eat at every meal therefore the allegation above is UNFOUNDED. This agency has investigated this complaint. We have found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.
Exit interview conducted and copy of the report was provided at the end.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Talwinder Bains
LICENSING EVALUATOR SIGNATURE:	DATE: 04/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2024

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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