Complaint Investigation Report

On the allegation: Staff did not check on residents

Based on interviews and records review, the facility staff were checking in on R1 while at the hospital and continued to check in on R1 when R1 was moved to the Diablo Valley Post Acute, including dropping off clean clothes on 5/19/2025. On 5/24/2025 staff called R1's cell phone but it did not ring, staff called Diablo Valley Post Acute but would not provide staff with information as they were not listed as the emergency contact. Between 5/25/2025-5/30/2025 staff continued to attempt to make calls to Diablo Valley Post Acute and R1's cell with no success.

On the allegation: Staff did not notify authorized representative of updates regarding the resident.

Based on interviews and records review on Saturday, May 24, 2025 7:44 PM S3 sent an email to R1’s responsible party stating that calls were attempted to R1 but his phone was not ringing and when staff called Diablo Valley Post Acute and was able to speak to W1 LVN and asked to speak with to R1 but according to W1, R1 is not in the facility.S3 asked for an update but S3 was not listed as an emergency contact. A second attempt was made by S1 with the same result.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED .

Exit interview conducted and a copy of this report provided