Complaint Investigation Report

157209257-11-6-2024-24-AS-SMOA-DB2VYA-20241115155046

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

10/24/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20241024161314

Annette Eggleston, Health Service Director

Staff did not follow resident's Physician Orders for Life-Sustaining Treatment (POLST)

On 11/06/24, Licensing Program Analyst (LPA) M. Yang arrived uannounced to deliver findings on the above allegation. LPA introduce self, stated the purpose of the visit, and met with Health Service Director Annette Eggleston, who stated Administrator Pamela Bradley is unavailable to attend meeting.

The department conducted interviews and received copies of records. The facility followed the resident request which was signed and selected by R1, POLST and to attempt CPR unless doctor stated otherwise. Therefore, the allegation above is founded to be UNFOUNDED, meaning they were false, could not have happened, and/or are without reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted. A copy of this report was provided to Health Service Director, whose signature confirms received of this report.