Complaint Investigation Report

107206795-5-28-2024-24-AS-SPIY-D6DTLG-20240619144930

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

12/21/2023 and conducted by Evaluator Lissett Padgett

COMPLAINT CONTROL NUMBER: 24-AS-20231221100747

Neglect/ lack of care and/or supervision resulting in resident's injury.

Licensing Program Analyst (LPA) L. Padgett conducted an unannounced complaint visit. LPA met with Administrator Rajvinder Samra and explained the purpose of this visit was to deliver the findings of the investigation completed by the Department. LPA conducted a tour of the facility, interior and exterior to ensure there are no potential or immediate health and safety risk at the facility.

Per records review, Resident (R1) was admitted to a hospital and diagnosed with a variety of illnesses and the x-rays yielded three fractures including an old left femur fracture, and new left distal femur and right oblique spiral fracture. It was reported that R1 had sustained a prior femur fracture at the facility. However, a medical records review of the prior hospitalization did not yield any fractures. Interviews with the facility administrators and caregivers did not provide an explanation for the R1’s fractures. They denied any falls, injuries, or physical abuse. Based on the interviews conducted and records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.