Complaint Investigation Report

157208773-8-22-2023-24-AS-SPIY-CVMVCA-20230913161850

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

07/17/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20230717170914

Facility staff abandoned resident at the hospital

Licensing Program Analysts (LPA) Shawna Doucette and Licensing Program Manager (LPM) See Moua arrived at the facility unannounced to conduct a complaint investigation. LPA and LPM met with Administrator Ramona Eleco. LPA's disclosed the purpose of the inspection and was granted entry into the facility by the Administrator.

LPA reviewed records and interviewed Administrator.

Based on interviews and records review, R1 was returned to the facility on Hospice.

This agency has investigated the complaint alleging, Facility staff abandoned resident at the hospital. Based on interviews and records review, We have found that the complaint was UNFOUNDED, which means the the allegation could not have happened, and/or is without reasonable basis, therefore we have dismissed the complaint.