Complaint Investigation Report

126803830-12-21-2022-21-AS-BMOS-CP9PKD-20230221102259

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

11/02/2022 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20221102145517

Facility failed to meet residents care needs

At approximately 10:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Executive Director Ken Nunes, reviewed records and interviewed staff. Based on a review of records and interviews conducted, LPA observed the facility did meet the needs of residents in care. Upon observation of the resident causing self harm by removing a catheter, facility staff immediately contacted emergency personnel and resident was taken to the hospital. Hospital staff treated the injury and returned resident to the facility. Resident caused self harm again upon return and was returned to the hospital. This series of events occurred one more time, then a physician removed it. Facility followed physician orders in the care of the resident. 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 allegation is Unsubstantiated.