Complaint Investigation Report

107206803-3-9-2023-24-AS-BCHN-CPVUNC-20230313154343

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

12/08/2022 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20221208110333

Staff did not ensure resident wore her neck brace

On 03/08/2023 Licensing Program Analyst (LPA) V Gorban visited facility stated above and met with Administrator Sundari Susan Kendakur to report findings pertaining to investigation with allegations:

Based on interview and medical records reviews the allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allege violation did or did not occur, therefore the allegation is unsubstantiated.

Staff did not ensure resident wore her neck brace

Based on interview, records review, The allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allege violation did or did not occur, therefore the allegation is unsubstantiated.