Complaint Investigation Report
107208887-12-7-2021-24-AS-SPIY-C9KLYB-20211210081004
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
10/04/2021 and conducted by Evaluator David Ayers
COMPLAINT CONTROL NUMBER: 24-AS-20211004085526
Facility staff were unable to meet resident's care needs
On 12/7/2021, Licensee Jasmine Oganyan attended an office meeting at the Fresno Regional Office. LPA delivered complaint findings during the office meeting.
During the course of the investigation, the Department inspected the facility, conducted interviews, and reviewed records. On 8/24/2021, a resident was admitted to the facility with a prohibited health condition. Facility staff were unable to meet the resident's care needs, which resulted in Resident 1(R1) being hospitalized on 9/13/2021. The allegation is Substantiated. See attached LIC9099D for deficiency cited in accordance with Title 22, California Code of Regulations. A copy of the report and appeal rights were provided to the licensee. Exit interview conducted.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction