Complaint Investigation Report

107209386-4-3-2025-24-AS-SMOA-DFEM59-20250404091755

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

03/10/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250310142731

Staff did not meet a resident's hygiene needs while in care

Staff did not ensure a resident was properly dressed

On 4/3/25 at 2:45 pm Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to deliver findings on above allegations. LPA met with Administrator A1 Elisa Pua and stated purpose of visit.

The Department reviewed records and conducted interviews with, R1 and facility A1.

Based on the records review and interviews that were conducted with staff, residents and Administrator, all staff ensured R1 was properly dressed, groomed and has proper hygeine. Based on observation of R1, R1 was properly dressed, groomed, has proper hygeine, appeared happy and is happy living in the facility.

The Resident's and Administrator that were interviewed did not confirm that residents were not treated with dignity and respect.

Although the allegation 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 which confirms signature of report.