Complaint Investigation Report
100400622-6-4-2025-24-AS-SPIY-DK5TCC-20250801143632
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
06/02/2025 and conducted by Evaluator Rachel A Bruce
COMPLAINT CONTROL NUMBER: 24-AS-20250602095556
Facility did not provide resident with an admissions agreement
Staff did not communicate with responsible party regarding resident's care
On June 3, 2025, Licensing Program Analyst (LPA) R Bruce met with Administrator, JayCee Sanderson, Administrator for the purpose of delivering findings regarding the above allegations.
Facility did not provide resident with an admissions agreement: Documentation and file review revealed that a copy of the Admission Agreement was provided to the family and resident upon entry in July, 2024 and subsequent requests for the same document were provided.
Staff did not communicate with responsible party regarding resident's care: This was in reference to the medication the resdient is taking. Staff provided a prescription list when requested by family and facility doctor has been available to provide information. Resident does not have capacity to understand medical needs or course of treatment but information has been provided to family.
Based on investigation which included file review and staff interviews, the preponderance of evidence standard has not been met and it was determined that the above allegations are UNFOUNDED and Community Care Licensing is therefore dismissing the complaint.
An exit interview was conducted and a copy of this report was provided to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction