Complaint Investigation Report

107208889-2-8-2024-24-AS-BCHN-D2AUDQ-20240209142951

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

11/09/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20231109141012

Resident sustained unexplained injuries while in care

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegation listed above. LPA met with Facility caregiver, Bienvel Yap , and explained the purpose of today's visit.

Regarding the allegation Resident sustained unexplained injuries while in care. Facility staff reported incidents on 08/09/23, and 08/11/23 documenting Resident 1 did have behaviors while attending day program that could result in unexplained injuries. LPA interviewed two facility staff members who both stated Resident 1 does on occasion have behaviors at the facility that could result in possible injuries such as bruising or scratches . Based on the interviews conducted, documentation obtained and reviewed, and the information received during this investigation, the preponderance of evidence standard has not been met; therefore, the above allegation is found to be unsubstantiated at this time.

No deficincies cited today Per Title 22 Regulations.

Exit interview conducted with facility Facility caregiver, Bienvel Yap, and a copy of this report provided.