Complaint Investigation Report

126803830-7-3-2024-21-AS-BMOS-D7ELLV-20240722085140

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

02/05/2024 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20240205165146

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to amend this report to add additional information regarding the above allegations. On 03/08/2024 at approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Administrator Charmin Bailey and reviewed records. Based on a review of records, facility did not reorder medications causing resident to be without needed medication as required. Based on a review of records and interviews conducted, resident care needs were not met, Resident did not receive showering assistance or laundry assistance as outlined in facility care plan and Admission agreement. These allegations are addressed and citations issued in complaint, 21-AS-20231229133708.