Complaint Investigation Report

157203395-10-11-2023-24-AS-MHON-CX8Q65-20231103115258

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

09/21/2023 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20230921081034

Staff did not prevent residents from falling while in care

Staff did not meet residents' hygiene needs

Staff did not adequately supervise residents resulting in residents wandering out of the facility

On 10/11/23, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced 10-day complaint visit. LPA met with Jeffrey Toomer, Executive Director and stated purpose of visit.

LPA gathered additional information and delivered findings during visit. During the course of the investigation, the department conducted a facility tour, interviews and reviewed facility records. During review of records, LPA observed that staffing is adequate for residents in care, all exits to exterior of building are delayed egress, alarmed, and have keyless entry. Shower schedules reviewed, and all refusals by residents for showers are documented in resident files.

Based on interviews and record review the allegations listed are UNSUBSTANTIATED. 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.

Exit interview conducted. A copy of this report provided for facility records.