Complaint Investigation Report

157208773-5-26-2022-24-AS-SMOA-CGWKH7-20220802075437

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

05/18/2022 and conducted by Evaluator Kelly J. McClurg

COMPLAINT CONTROL NUMBER: 24-AS-20220518121130

Staff did not provide adequate supervision to resident resulting in inappropriate behavior.

A Complaint visit was conducted on the date & during the times indicated above by Licensing Program Analyst (LPA) K. McClurg. LPA met with Administrator (Admin) Ramona "Mona" Eleco.

According to Admin & facility records, Resident 1(R1) sustained fall in facility courtyard when trying to get to dining room per R1 as told to S1 R1 assessed for injuries in accordance with facility policies & procedures. No other residents observed near R1. R1 did not complain of being pursued by another person. The Department has investigated the above allegation & found it to be unsubstantiated.

Exit interview conduced with Admin. Report provided.