Complaint Investigation Report

157208933-9-13-2021-24-AS-SPIY-C6WT9V-20210916143234

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

05/10/2021 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20210510101237

Licensing Program Analyst (LPA) Shawna Doucette contacted the facility to commence a complaint investigation. LPA conducted a visit and took COVID-19 pre-cautionary measures. LPA identified herself and explained the purpose of the visit was to deliver findings to Administrator Michelle Manganaan .

LPA interviewed staff and reviewed IPP. After interviewing staff and reviewing IPP, C1 has self induced behaviors that require staff to assist client in preventing harm to C1's self.

Although the allegation, Caregiver slapped resident's hand may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.