Complaint Investigation Report

150400536-5-29-2025-24-AS-SPIY-DH6RL2-20250530130626

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

05/21/2025 and conducted by Evaluator Jimmy Duarte

COMPLAINT CONTROL NUMBER: 24-AS-20250521123231

Staff handled resident in a rough manner causing injury.

Staff are not positioning resident in their bed according to physician's instructions.

Licensing Program Analyst (LPA) J. Duarte and Shawna Doucette arrived at the facility unnounced to conduct a 10-day complaint investigation. LPAs met with administrator (AD) Rochelle Balaban.

LPAs interviewed AD. LPAs reviewed and obtained copies of residents roster for assisted living and skilled nursing.

Based on interviews and records review, R1 has never resided in the facility. This agency has investigated the complaint alleging; staff handled resident in a rough manner causing injury and that staff are not positioning resident in their bed according to physician's instructions, found that the complaint was UNFOUNDED, which means it could not have happened, and/or, it without a reasonable basis; therefore, we have dismissed the complaint.

An exit interview was conducted with AD, and a copy of this report was provided.