342701040-2-19-2025-27-AS-SRIN-DEC2KA-20250228162738

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701040
Report Date: 02/19/2025
Date Signed: 02/19/2025 11:57:04 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
01/14/2025 and conducted by Evaluator Kimberly Viarella

COMPLAINT CONTROL NUMBER: 27-AS-20250114162347

FACILITY NAME:	BRUCEVILLE POINT		FACILITY NUMBER:	342701040
ADMINISTRATOR:	HOSTETTER, ERIC		FACILITY TYPE:	740
ADDRESS:	9730 BACKER RANCH ROAD		TELEPHONE:	(916) 226-5300
CITY:	ELK GROVE	STATE: CA	ZIP CODE:	95757
CAPACITY:	200	CENSUS: 143	DATE:	02/19/2025
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Eric Hostetter		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Resident missed medications.
Staff do not give resident medication timely.
Resident being charged for services not rendered.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kimberly Viarella arrived unannounced to deliver complaint findings. LPA Viarella met with Eric Hostetter and explained the purpose of the visit.

The investigation consisted of interviews with Staff 1 (S1), Staff 2 (S2), Resident 1 (R1), and a review of facility records. The following has been determined as it relates to the aforementioned allegations.

On 01/23/25, LPA Christina Valerio interviewed facility staff. S1 informed LPA that residents are billed for extra charges if they purchase items outside of dinning hours from the bistro or bar and if they chose the option to get their meals to go. The facility charges $1 if a resident chose to have their meal for to-go rather than eat in the dining halls. The facility implemented this policy to create an incentive for residents to dine with others. Residents will also be charged for any alcohol that is purchased with their meal. S1 stated residents are charged a base rate for their room and can be charged service level fees and premium level fees. Those fees are dependent on a resident's assessment for care needs.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025

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-20250114162347

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: BRUCEVILLE POINT	FACILITY NUMBER: 342701040
	VISIT DATE: 02/19/2025

NARRATIVE

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According to an interview with Staff 2, S2 reported if a resident did not get a medication, their Medication Administration System would have it documented in red and have a note explaining the reason for the missed medication. The reason for not receiving a medication could be refusal, a physician hold order, or the resident was not in the community. S2 recalls times where R1 requested medications from staff; however, could not receive the medication because R1 took the maximum dosage for the day or the time frame was outside the medication order window. S2 stated R1 is vocal and would tell the community if R1 was unhappy with services.

On 01/23/2025, LPA Valerio interviewed Resident 1 (R1). R1 reported wanting to manage their own medications rather than having to have staff bring the medications. R1 stated R1 is working closely with S2, their primary care provider, and case manager regarding the timing of medications. R1 does not like not having control over the time to take medications. R1 did not disclose medications were not given to R1 or R1 missed any dosages. When asked about dinning charges, R1 confirmed understanding of the $1 charge. R1 mentioned that R1 felt odd telling staff R1 was sick over the phone and needed food delivered. R1 stated R1 will call the order in and pick it up to eat in the room. R1 stated R1 used to go to the hall before COVID, but without the same people, the dining hall is not the same.

LPA Valerio reviewed facility records. Based on record review, R1 is considered independent and responsible for oneself. According to R1's invoice for December 2025, R1 was charged $1.00 forty-one times for utilizing the option to take meals back to the room rather than dinning. The invoice also displayed charges for Alcohol purchases, one-bedroom base rate, Care Plan Fees. According to R1's invoice for January 2025, charges were the same except there were no charges for to-go dinning. LPA Valerio compared the charges on the invoices with R1's Semi-Annual Assessment, and Admission Agreement. LPA Valerio also observed signed agreements between the resident and the facility regarding Fee increases, Meal Pricing, Increase for Base Rate Fees, New To-Go Surcharge, and New Transportation Guidelines. According to Medication Administration Records for December 2024 - January 2025, R1 was observed to receive all schedule medications within the prescribed order and observed to receive all PRNs requested by R1.

Based on this information, the allegation is unfounded. A finding of unfounded means the allegation is false, could not have happened, or is without a reasonable basis. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was held, and a copy of this report was provided.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Kimberly Viarella
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025

LIC9099 (FAS) - (06/04)

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