Complaint Investigation Report

157208773-11-22-2021-24-AS-SPIY-C99MVA-20211130085626

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

09/22/2021 and conducted by Evaluator Kelly J. McClurg

COMPLAINT CONTROL NUMBER: 24-AS-20210922141659

Staff are not assisting resident with hygiene needs

Staff are not ensuring that resident has nutritional meals

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 interviewed resident, facility staff, and reviewed records. The resident referenced (R1) in the complaint confirmed that they are provided meals at the facility. Facility staff interviewed stated that the resident is provided showers and hygiene care, but refuses. Resident’s refusal was documented and provided along with the facility’s menu. Based on the interviews conducted and records reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are Unsubstantiated.

No deficiencies issued. Exit interview conducted with Admin.