Complaint Investigation Report

107204161-10-20-2023-24-AS-SMOA-D4CKKS-20240415075850

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

10/11/2023 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20231011112134

Staff confined resident to their room while in care.

Staff did not ensure that resident's hygiene needs were met while in care

On 10/20/2023 Licensing Program Analysts (LPA's) M. Garza and M. Flores arrived at facility for an unannounced complaint visit. LPA met with Direct Care Staff, Joseph and Gamare Whigan. Licensee, Lorik Sheakalee was contacted and stated they were unavailable to come to the facility. LPA was informed Assistant, Mario Ramos would arrive some time later. LPA's completed a tour of the facility inside and out and a health and safety check on residents in care. Residents observed in common areas and in rooms.

During visit LPA's completed interviews with staff and resident(s). LPA's reviewed documentation (physicians reports, needs and assessments, pre-placement appraisal). Interviews with RP and S1 indicated that R1 had hygeine needs were not met. Interview conducted with medical profession indicated that R1 was being confined to their room. The preponderance of evidence standard has been met per Title 22. The allegations listed above are SUBSTANTIATED. Deficiency cited on 9099D.

Exit interview conducted with Licensee, Lorik Sheakalee and Assistant, Mario. A copy of this report and appeal rights given.