Complaint Investigation Report
015601255-2-11-2025-15-AS-HHUL-DE8R7D-20250225114610
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
02/07/2025 and conducted by Evaluator James Sampair
COMPLAINT CONTROL NUMBER: 15-AS-20250207104901
Staff did not provide adequate supervision, resulting in a resident sustaining multiple falls and injuries.
On February 11, 2025 at 11:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced at the facility for a visit to investigate the allegation above. Upon entry into the facility, the LPA identified himself and stated the purpose of the visit to Executive Director (ED) Simone Hall.
The complaint alleges that staff did not provide adequate supervision, resulting in Resident R1 sustaining multiple falls and injuries.
The LPA interviewed the ED, Witness W1, a nurse with the California Department of Public Health, and W2, a nurse with Pathways Home Health and Hospice. The LPA reviewed R1's file, hospice file, hospice care plan, and Physician’s Report. The data collected does not confirm the allegation.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED.
Exit interview conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction