Complaint Investigation Report

157209196-6-13-2024-24-AS-SPIY-D6DK78-20240619073840

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

03/14/2024 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20240314113726

Due to abuse, resident received an injury

Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation and deliver findings. LPA identified herself and explained the purpose of the visit with Staff Beatriz Ancheta. Administrator Socorro Telmo responded to the facility to assist with the visit.

LPA reviewed records and interviewed staff.

Based on interviews, LPA was unable to determine whether or not R1, received a bruise due to abuse. Based on Hospice records review, R1 bruises easily due to a medication R1 is currently taking.

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.