Complaint Investigation Report

157209136-3-3-2022-24-AS-SPIY-CCJLWJ-20220315090714

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

01/31/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20220131155034

Staff is not providing adequate care to resident.

Staff is not providing hygiene care to resident.

Staff is not providing dental care to resident.

Licensing Program Analyst (LPA) K. Kaur and LPM S. Moua arrived at the facility unannounced to conduct follow up inspection. Upon entry, temperature check was completed by Med Tech Barbara Martin.

LPA and LPM discussed the purpose of the visit and the elements of the allegations. LPM & LPA interviewed Staff, residents. Reviewed records and toured the facility.

Based on interviews conducted the resident as on Hospice and receiving hygiene care two to three times a week. Facility staff deny that hygiene and dental care were not provided.

LPA did not discover any specific incidents related to the allegations. Based on the interviews conducted and records review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.Exit interview was conducted.