Complaint Investigation Report

157206770-6-17-2022-24-AS-SPIY-CFGKE9-20220617074958

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

06/15/2021 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20210615105231

Licensee did not repair and service a resident's oxygen equipment

Facility staff are not giving a resident their oxygen

Facility staff are not assisting a resident with incontinence needs

Facility staff locked a resident in her bedroom

Facility is restricting visitation for a resident

Licensee is not allowing a resident to receive phone calls

Licensing Program Analyst (LPA) Les Xiong conducted the complaint investigation visit to the facility.

During the course of this investigation LPA reviewed facility files relevant tothe complaint investigation. It was determined that the above allegations: Licensee did not repair and service a resident's oxygen equipment, Facility staff are not giving a resident their oxygen, Facility staff are not assisting a resident with incontinence needs, Facility staff locked a resident in her bedroom, Facility is restricting visitation for a resident and

Licensee is not allowing a resident to receive phone calls are UNFOUNDED. During the investigation, the evidents indicated Resident R1's oxygen was administered as directed by her physician and serviced and brought to the facility by home health. R1's care were adequate and R1 was not confind to her room. All visitations ere followed as per court ordered and phone were available to her. This agency has investigated the complaint alleging (Resident R1's oxygen was administered as directed by her physician and serviced and brought to the facility by home health. R1's care were adequate and R1 was not confind to her room. All visitations ere followed as per court ordered and phone were available to her). We have found that the complaint was unfounded, therefore we have dismissed the complaint.