Complaint Investigation Report

125000579-11-14-2022-21-AS-CMAZ-CLAVNA-20221118153449

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

05/25/2022 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20220525151512

Neglegt/lack of supervision resulting in resident death

At approximately 1:00PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings from an investigation into the above allegation. LPA met with Executive Director Larona Farnum. Based on an investigation completed by the department, R1 was not on any special observations or status checks, did not require one on one care and had access to the facility pendant system. R1 had a virtual physician visit the day prior and there were no issues noted. Based on interviews conducted, there were no prior concerns with the buildings heating system. Staff immediately notified emergency personnel upon discovering R1 being unresponsive. Facility followed regulation and their program design.

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. No citations issued.