Complaint Investigation Report

157209146-8-10-2022-24-AS-SPIY-CH7KM7-20220811080105

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

05/19/2022 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20220519152727

Resident sustained injuries while in care.

Licensing Program Analyst (LPA) Shawna Doucette and Vadim Gorban conducted an unannounced complaint visit to investigate and deliver complaint findings. LPA met with Administrator Ria Loria and discussed the purpose of the visit.

LPA interviewed staff and resident. LPA obtained copies of R1's file and reviewed records. LPA obtained copies of R1's shower schedule.

Based on record review and interviews resident did sustain an injury while in care however the facility followed proper procedures by seeking medical attention for R1.

Based on records review and interviews, it is undetermined if the resident was left unkept.

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 was provided.