Complaint Investigation Report

157208773-12-18-2023-24-AS-SPIY-CZMMD2-20240119083027

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

12/13/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20231213120605

Staff did not ensure that a resident's incontinence needs were met

Licensee does not provide residents with activities

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

LPA interviewed Staff and Administrator. LPA obtained copies of staff schedule, records and R1's file. R1 has an incontinence schedule showing when checked/changed. Records show R1 is being checked/changed every 2 hours.

LPA reviewed activties schedule and obtained a copy of the schedule. Last week the facility had a Christmas party, music, movies, and religious services ect.

Based on record review and interviews, it is undetermined whether or not the allegations occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted with the Administrator and a copy of this report was provided.