Complaint Investigation Report

157209146-4-12-2024-24-AS-SPIY-D4FNG9-20240418102646

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

01/29/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20240129151358

Staff did not ensure that resident's toileting needs are met

Staff did not safeguard resident’s personal belongings

Licensing Program Analyst (LPA) Shawna Doucette conducted an unannounced complaint visit and was granted entry by Staff Paula Maribel Brizuela. LPA explained the purpose of the visit. Staff Paula Maribel Brizuela advised the Administrator is currently out of the country.

LPA toured the facilty. LPA interviewed staff. Facility staff stated R1 did not have a roommate. Resident no longer resides at the facility. LPA requested a copy of R1's file. LPA reviewed the property list.

Based on interviews and records review, it is not determined whether or not Staff did not ensure that resident's toileting needs are met and if Staff did not safeguard resident’s personal belongings. 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.

A copy of this report was provided to Administrator via email.