Senior Care Records.

Complaint Investigation Report

Serenity Care Home RCFE, Sunnyvale02/23/2024Licence 435201883

Census4
Date signed02/26/2024 08:04:35 AM
The inspector’s account

435201883-2-26-2024-26-AS-KHOS-D3AP5J-20240312110049

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

05/04/2022 and conducted by Evaluator Grace Donato

COMPLAINT CONTROL NUMBER: 26-AS-20220504135515

Lack of supervision resulting in resident leaving the facility.

On 2/22/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Admininstrator Olga Melburga and LPA explained the purpose of the visit.

Regarding the allegation of lack of supervision resulting in resident leaving the facility. The reporting party (RP) stated that the primary concern is that the client (R1) wanders a lot and SA may not be able to provide adequate supervision or care.

LPA interviewed the admininstrator, Olga Melburga (S1). S1 mentioned that R1 never left the facility unaccompanied or unassisted. S1 is always accompanying R1 whenever he/she goes out of the facility. S1 also brings R1 to do grocery shopping.

Based on interviews, the department has determined that that the allegations were false, could not have happened and/or is without a reasonable basis, therefore the allegations are UNFOUNDED. No deficiencies cited today. Report is reviewed and copy is provided.

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