Complaint Investigation Report

157206770-1-26-2024-24-AS-SPIY-D29Q2H-20240208104711

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

10/09/2023 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20231009150017

Resident sustained a fracture due to satff neglect

Resident sustained multiple bruises due to staff neglect

Licensing Program Analyst (LPA) Shawna Doucette and Miriam Flores conducted a visit to commence a complaint investigation and deliver findings. LPAs identified themselves and discussed the purpose of the visit and the elements of the allegations with Administrator, Perla Pena.

The Department has investigated the above allegations. Although the allegations 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 allegations are UNSUBSTANTIATED.

During the course of the investigation a deficiency was discovered. Refer to 809/809d.