Complaint Investigation Report

126804144-5-20-2025-21-AS-KMOA-DJ7UHV-20250702153634

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

05/16/2025 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20250516151458

Facility staff are not repositioning resident overnight resulting in injury

Facility staff are leaving residents soiled for an extended period of time

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to open an investigation into the above allegations. LPA met with House Manager Shadie Aragon and reviewed records. Based on records reviewed and interviews conducted, Resident, R1, is able to reposition themselves in bed. R1 needs assistance with transfers and some with mobility. There are no orders to assist with turning or repositioning in bed. Facility keeps a daily communication report that documents how often residents are to be checked on and details which staff assisted resident with bathroom and showers. LPA reviewed records and observed facility was in constant communication with R1's physician regarding swelling and blisters on their left arm. R1 was seen at the Hospital on 05/12/2025 and was presribed antibiotics. LPA reviewed daily communication logs and observed residents are checked every 2-3 hours and assisted with personal needs as they arise. Based on records reviewed, LPA did not find evidence to support the above allegations.

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.