Complaint Investigation Report

100400070-12-4-2024-24-AS-SPIY-DBPNBV-20241206091945

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

05/07/2024 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20240507171907

Staff left residents soiled for extended periods of time

On 12/04/24, Licensing Program Analyst (LPA) M. Medina conducted an unannounced subsequent complaint visit to conduct additional interviews and deliver findings. LPA introduced self and stated purpose of visit and allowed entrance. LPA met with Executive Director/Administrator, Paul Rocha during visit.

This Department investigated the allegation of questionable death and staff. During the investigation, this department obtained a copy of Resident 1 (R1) death certificate. Based on record review of R1's death certificate, it was determined R1's cause of death was respiratory arrest. Facility has Point Click Care (PCC) system that monitors and tracks all residents toileting, brief changes, and any assistance with activities of daily living (ADLs) provided by staff on shift.

This Department has found that the above allegations are UNFOUNDED, meaning they were false, could not have happened, and/or were without reasonable basis. We have therefore dismissed the complaint.

No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records