Complaint Investigation Report

011440776-6-11-2024-15-AS-KHOS-D6BNKK-20240617103205

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

06/11/2024 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20240611093843

Staff handled inappropriately resulting in fracture.

On 6/11/2024 at 02;45 PM, Licensing Program Analysts (LPAs) James Sampair and Ardalan Gharachorloo arrived unannounced to conduct the initial 10-day complaint inspection of the facility pertaining to the allegation above. Upon arrival, LPAs stated the purpose of the visit to Administrator (ADM) Manjot Kaur.

The complainant alleged that the resident (R1) was handled inappropriately resulting in a fracture.

LPAs met with ADM, who stated that R1 is a resident in skilled nursing and has never been a resident in assisted living.

The allegation is false, could not have happened, and/or is without a reasonable basis, therefore, the allegation is UNFOUNDED.

Exit interview conducted and a copy of this report provided for ADM.