Complaint Investigation Report

107201295-8-25-2022-24-AS-SMOA-CJGUJB-20220921153714

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

07/21/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20220721084033

Resident sustained an injury while in care.

The Department conducted interviews and reviewed records. Based on interviews conducted with Regional

Center, residents, and facility staff, R1 has an unsteady gait and is prone to falls while walking and in seated position.

Facility staff appeared to have taken the proper protocol to ensure resident has necessary protective equipment to avoid or lesson the harm of injury to client. R1 was also taken to care provider to determine if any health issues were leading to/or resulted in these incidents.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the

alleged violations did occur; therefore, the allegations are Unsubstantiated.

Exit interview completed. Report signed on sight by Administrator and printed copy provided.