Complaint Investigation Report

092700750-10-5-2021-25-AS-LMUZ-C7KR56-20211007124238

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

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

09/16/2021 and conducted by Evaluator Michael Smith

COMPLAINT CONTROL NUMBER: 25-AS-20210916140448

Neglect/Resident is not receiving the proper care needed

Prior to entering the facility, LPA Smith spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening protocols, wore a mask and maintained distance during the visit. LPA Smith conducted an unannounced complaint visit and met with Angela Martinez.

Based on photographic / medical documentation and witness testimony, this allegation is SUBSTANTIATED. LPA observed evidence which showed uncut toenails and unbrushed teeth on R1. These conditions could only occur due to a lack of hygienic care on a routine basis. Additional documentation includes medical discharge paperwork where the medical directive was "to keep mouth clean".

As a result of this investigation, LPA finds the allegation that resident is not receiving the proper care needed to be SUBSTANTIATED. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6.