Complaint Investigation Report

157209103-11-8-2024-24-AS-SPIY-DB6MP5-20241119084633

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

07/22/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20240722153956

Facility is not meeting food service requirements resulting in weight loss

Licensing Program Analysts (LPA)'s Shawna Doucette conducted an unannounced complaint visit and was granted entry by Administrator Alexis Bell. LPA's explained the purpose of the visit.

LPA conducted interviews and reviewed records.

Based on record review and interviews Staff documentation indicates R1 refused meals regularly.

Based on interviews, staff did not violate resident's personal rights or handle resident in a rough manner

Based on record reviews and interviews, 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.

An exit interview was conducted and a copy of this report was provided.