Complaint Investigation Report

107209170-1-21-2025-24-AS-SMOA-DDMVC9-20250206151845

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

01/17/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250117091137

Staff handled residents in a rough manner resulting in injuries to residents in care

Staff did not attend to resident's call for assistance

On 1/21/25 at 10:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and investigate above allegations. LPA met with Administrator A1 Eddiemer Sison and stated purpose of visit.

The Department reviewed records and conducted interviews with staff, residents and facility Administrator. The Department toured the facility and checked medications and Resident's MARS. 2 residents were having lunch after interviews concluded.

Based on interviews that were conducted residents stated there are no issues with staff, or resident's diapers. Medications with MARS were observed and accurate.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to Administrator who confirms signature of report.