Complaint Investigation Report
157208940-9-9-2021-24-AS-MHON-C6XMCK-20210917092941
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
12/30/2020 and conducted by Evaluator Lisa Salazar
COMPLAINT CONTROL NUMBER: 24-AS-20201230161131
Staff did not apprise resident's family of change in resident's condition
Staff did not ensure that resident was adequately fed while in care
On 07/22/2021, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to deliver findings on the above allegation.
During the course of the investigation, LPA conducted interviews with staff and reviewed records. LPA received documentation from Executive Director evidencing the family's notification and consent to place R1 on HospiceCare services due to a change of condition for R1.
Facility records reveal annual documented weight records for 2017, 2018 and 2019. Hospital records show R1 is one pound heavier in weight than the three years prior. Facility’s procedures were reviewed. It was confirmed the facility contacted the physican and family to initiate Hospice Care. Based on interviews conducted and records reviewed, the allegation is UNFOUNDED. Therefore we have dismissed the complaint. No deficiency was observed. Exit interview conducted.
No Deficiencies are being cited on todays visit. Exit interview conducted and appeal rights given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction