Senior Care Records.

Complaint Investigation Report

Autumn Ridge Assisted Living, Kerman04/16/2025Licence 107209492

Census35
Date signed04/16/2025 04:22:13 PM
The inspector’s account

107209492-4-16-2025-24-AS-SMOA-DG9KV9-20250501081357

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

04/11/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250411152911

Staff not responding to client's calls for assistance in a timely manner

On 04/16/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal. LPA delivered complaint findings.

During the course of the investigation, the Department conducted interviews, toured the facility with Administrator and reviewed records. Administrator stated that call pendants are responded to within 10 to 15 minutes. Administrator and LPA observed a sample of residents' call pendant in which were not responded to in a timely manner upon activation.

Based on observation and records reviewed, the preponderance of evidence standard has been met,

therefore, the above allegation is found to be SUBSTANTIATED. Under California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC 9099D.An exit interview was conducted. A copy of this report and appeals was provided to the Administrator, whose signature on this form confirms receipt of this report.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction