Complaint Investigation Report

During the investigation process, it was stated that the resident lost 24 lbs during a four-month period while at the facility. It was reported by some staff that they thought that the resident’s authorized representative was notified; however, there was not any type of documentation that the administrator provided to indicate that the authorized representative was notified.

Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, (Title 22), is being cited on the attached LIC 9099D.

Appeal Rights were explained and provided to the facility representative listed above and an exit interview was conducted. If any of the cited deficiencies are not corrected by the noted due date; civil penalties may be assessed.