Complaint Investigation Report

107208943-5-24-2022-24-AS-MHON-CEXQ29-20220531114644

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

03/02/2022 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20220302163115

Resident was confined to their bed while in care.

Residents are being confined to their rooms while in care.

Resident's diapering needs not being met.

Resident is not fed food according to their dietary plan.

Resident is being yelled at while in care.

On 05/24/22 Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Licensee Camalah Kopocz.

During the course of the investigation, interviews were conducted, and records were reviewed. It could not be proven or disproven that resident was confined to their bed while in care, that residents are being confined to their rooms while in care, resident’s diapering needs are not being met, residents are not fed food according to their dietary plan and being yelled at while in care. Interviews conducted with staff and resident, R1 confirmed resident are not being yelled while in care, have not been confined to their bed and have not been confined to their rooms while in care. Staff and resident stated residents are being fed with food according to their dietary plan.

Based on interviews and records review, the allegations above is founded to be UNSUBSTATIATED meaning there is not a preponderance of evidence to prove or disprove the alleged violations occurred. No deficiencies issued. An exit interview was conducted. A copy of this report was provided to the Licensee.