Complaint Investigation Report

107209357-6-11-2024-24-AS-BCHN-D6FW46-20240621165657

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

02/27/2024 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20240227164437

On 06/11/2024, Licensing Program Analyst (LPA) V Gorban unannounced visited facility stated above to deliver complain findings, stated the purpose of the visit, and was allowed entry into the facility by staff Beth. Administrator (AD) was notified of Licensing visit but was not able to attend the visit. During this visit LPA toured the facility inside and out performing safety checks.

Allegation: Illegal eviction. Based on observations, interviews, and records review hospital discharged R1 even though medical treatment was active and R1 was required 24-hour medical monitoring. The Facility agreed to accept R1 back once treatment is over. Resident was voluntary moved to another facility due to required 24-hour medical observation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were cited during this visit. Exit interview conducted, report signed and copy of this report provided to Administrator for facility records.