Complaint Investigation Report

157206770-9-19-2022-24-AS-SPIY-CKCV3T-20221019160514

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

09/28/2021 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20210928173223

Resident sustained unexplained bruising while in care.

Resident sustained a fracture while in care.

Facility staff do not treat resident with dignity and respect.

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Gracie Ramirez, Office Manager and informed her the purpose of the visit.

During the course of this investigation LPA reviewed facility files and spoke to staff and individuals relevant to the complaint investigation. It was determined that the above allegations: Resident sustained unexplained bruising while in care, Resident sustained a fracture while in care, and Facility staff do not treat resident with dignity and respect are UNFOUNDED. Resident R1 had an incident and was sent to the hospital for treatment timely. There was no evidence of neglect or abuse or any disrespectful toward R1. This agency has investigated the complaint alleging (Lack of supervision resulting in resident's fall). We have found that the complaint was unfounded, therefore we have dismissed the complaint.