Complaint Investigation Report

126803830-8-21-2024-21-AS-BMOS-D96N8Y-20240916101507

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

06/05/2024 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20240605153000

Facility staff failed to meet residents care needs.

At approximately 8:05AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Executive Director Roger Endert, reviewed records and interviewed staff. Based on records reviewed and interviews conducted, resident was found in their room with feces on their body. While staff was assisting resident to clean up, they observed resident's ankle was swollen and they had bruising on their eye. Staff contacted medication technician to assist with an assessment. Medication technician contacted staff from the previous shift to see if there was anything to report. There were no incidents the previous day. Emergency personnel were contacted and resident was taken to the hospital. LPA reviewed resident care plan and observed resident was a low fall risk and did not require constant supervision. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.