Complaint Investigation Report

126803254-4-4-2024-21-AS-VBEI-D72SXS-20240710141624

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/01/2024 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20240201111036

Lack of supervision resulting in resident’s fall.

At approximately 10:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Administrator Angela Stevens, toured the building and reviewed records. Based on interviews conducted and records reviewed, resident was found on the floor of their room after falling. Interview with staff revealed they were assisting another resident when the fall occurred. The resident was discovered shortly after the fall and staff assisted them. LPA reviewed staffing records for the time in question and found facility had sufficient staff at the time. Based on records reviewed, resident did not sustain injury and was found shortly after the incident. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.