Complaint Investigation Report

157208915-7-6-2023-24-AS-MHON-CTLN5H-20230710100933

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

06/26/2023 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20230626122017

Staff do not provide the resident with water

On 07/06/23, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct the required 10-day site inspection.

LPA reviewed Hospice Care notes, interviewed Administrator and relative of Resident R1. Based on the information received, we have found that the complaint was Unfounded, meaning that the allegation is false, could not have happened and or is without reasonable basis, therefore, we have dismissed the complaint. No deficiency cited on today's visit.

Exit interview conducted. A copy of this report was provided to Administrator.