Complaint Investigation Report
157208773-11-22-2021-24-AS-SPIY-C9RU9G-20211216142308
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
08/26/2021 and conducted by Evaluator Kelly J. McClurg
COMPLAINT CONTROL NUMBER: 24-AS-20210826125814
Staff does not safeguard resident's personal items
Staff does not have adequate sanitation procedures
Staff does not assist resident with obtaining medical care in a timely manner
An unannounced Complaint visit was conducted on the date & during the times identified above by Licensing Program Analyst (LPA) K. McClurg & Licensing Program Manager (LPM) See Moua. LPA & LPM met with Administrator (Admin) Ramona Eleco & stated purpose of visit.
The Department conducted interview with residents & staff, toured the facility's laundry room, & reviewed records. Based on observations, all resident's clothing are labelled & the facility has an adequate supply of laundry detergent & cleaning supplies. Based on records reviewed, R1 was referred for a sleep apnea observation on 10/19/21 & received the CPAP machine on 10/25/21 within a month of letting the facility know. The allegations are Unsubstantiated.
No deficiencies issued. Exit interview conducted with Admin.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction