Senior Care Records.

Complaint Investigation Report

Good Shepherd of Dublin, the, Dublin04/12/2024Licence 019200847

Census5
Date signed04/12/2024 02:01:15 PM
The inspector’s account

019200847-4-12-2024-15-AS-KHOS-D9FKR3-20240925080716

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

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

07/14/2023 and conducted by Evaluator Kelly Nguyen

COMPLAINT CONTROL NUMBER: 15-AS-20230714150033

Facility staff are not showering resident

Facility staff are not trained in the operation of the Hoyer lift

On 4/12/2024 at 1:00 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings regarding the allegation above. LPA met with Administrator, Merdith Castro.

During the course of investigation, LPA K. Nguyen interviewed R1, and staffs. R1 stated that the facility gives R1 sponge bath daily. R1 stated that R1 is being taking care of very well at the facility. R1 started that I am the person that doesn’t like to go out of bed. The staff encourage me, but I choose not, and do not want to get out of my bed. LPA reviewed 3 staff training record. 3 out of 3 staff are certify on how to operate the Hoyer lift.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted a copy of this report provided.

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