Complaint Investigation Report

157209257-3-6-2023-24-AS-SMOA-CPX23J-20230314170226

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

02/28/2023 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20230228141933

Administrator/ Executive Director Pamela Bradley

Facility failed to notify residents that pendant alarms were not working

On 3/6/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial 10-day inspection. LPA introduced self, stated the purpose of the visit and met with Administrator/ Executive Director Pamela Bradley.

During the course of the investigation, LPA received copy of records, toured the facility and conducted interviews. Facility pendant alarm were not working on 02/23/23. Facility notified alarm vender and supervisors immediately. The residents were notified the same day of the alarm system not working on 2/23/23. A written notification was sent to the residents’ responsible party and residents on 2/27/23.

Based on the observation, records reviewed, and interviews that were conducted the above allegation is founded to be UNSUBSTANTIATED due to facility has notified the resident within 24 hours of the alarm system not working and took the proper measure to ensure the safety of the residents. An exit interview was conducted, a copy of this report was provided via email to Administrator. Report signed on-site.