Complaint Investigation Report

107208812-4-17-2024-24-AS-MHON-D4KVB2-20240422161648

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

04/15/2024 and conducted by Evaluator Alexandria Walton

COMPLAINT CONTROL NUMBER: 24-AS-20240415152512

Resident sustained unexplained bruising while in care

On 04/17/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced myself and met with Administrator, Sara Gloria. The purpose of the vist was disclosed to Administrator.

Review of resident records and interviews with Administrator revealed that on 04/10/2024, R1 had an appointment to have blood drawn. During the appointment the Lab technician made three attempts to draw blood from R1 resulting in bruising to R1's right arm.

This agency has investigated the allegation: Resident sustained unexplained bruising while in care. We have found that the complaint is unfounded, meaning that the allegation was false, could not have happened and/or without a reasonable basis.

An exit interview was conducted Administrator. A copy of this report was discussed and left with Administrator, Sara Gloria, whose signature on this form confirms receipt of the document.