Complaint Investigation Report
107208838-10-18-2024-24-AS-SPIY-DB9LZ6-20241122081123
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
05/29/2024 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20240529155053
Staff neglect resulted in a resident sustaining a fracture while in care
Staff are mishandling the residents medications
Staff are inappropriately administering the residents medications
Staff did not properly report incidents involving the residents
Staff did not provide adequate care and supervision to the residents
Staff did not prevent the residents from engaging in an altercation
Staff do not respond timely to the resident alerts
Staff did not seek timely medical attention for a resident
On 10/18/24, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced complaint visit to conduct interviews and deliver findings. LPA introduced self, stated purpose of visit, and met with Administrator, Constance Peters.
This department investigated the above allegations during the investigation, LPA toured facility, conducted interviews, and reviewed records. This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED.
No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction