Senior Care Records.

Complaint Investigation Report

Pine Grove Residential Home Care for the Elderly, Folsom12/13/2022Licence 347002633

Census6
Date signed12/13/2022 02:04:55 PM
The inspector’s account

347002633-12-13-2022-25-AS-LMUZ-CMJ223-20221227160003

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CHICO - RESIDENTIAL , 520 COHASSET RD., STE. 170

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/06/2022 and conducted by Evaluator Lavinia Muscan

COMPLAINT CONTROL NUMBER: 25-AS-20221206113656

PINE GROVE RESIDENTIAL HOME CARE FOR THE ELDERLY

Licensing Program Analyst (LPA) Lavinia Muscan arrived at the facility unannounced to conduct a Complaint Investigation Visit. LPA conducted COVID-19 Precautionary prescreening, and wore a surgical mask while at facility. LPA was screened by Administrator.

LPA investigated the allegation "Facility failed to issue a full refund." Administrator stated she has not issued a full refund after the resident passed away because she didn't charge the resident for extra things. Admin thought the responsible party understood per their conversation. Per 1569.652 Termination of admission agreement upon death of resident; removal of resident’s property; refund of fees paid; notice of contract termination and refunds, A residential care facility for the elderly shall not require advance notice for terminating an admission agreement upon the death of a resident. No fees shall accrue once all personal property belonging to the deceased resident is removed from the living unit.

Based on the above, the allegation is substantiated. Deficiency is cited on 9099-D, per CA Health and Safety Code. Appeal rights were provided to Administrator.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction