Complaint Investigation Report

157209133-12-6-2023-24-AS-SPIY-CYFLTV-20231212080256

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

09/18/2023 and conducted by Evaluator Darius Williams

COMPLAINT CONTROL NUMBER: 24-AS-20230918151054

Staff did not observe changes in resident's condition

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced complaint visit to deliver findings. LPA Williams met with Administrator, Jason Johnson and discussed the purpose of the visit.

LPA Williams conducted record revies and interviews.

According to records R1 was sent to the hospital on a different day. Staff 1 explained some possible symptoms to look for but could not remember observing them on R1. According to the Reporting Party, they are unsure when they believed the symptoms started and reported they were not present and unaware if staff was in the immediate observable area.

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 and a copy of this report will be provided via e-mail.