Complaint Investigation Report

157206907-7-19-2023-24-AS-SMOA-CUAMHM-20230801093743

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

05/05/2023 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20230505162400

Facility failed to take client to medical appointments for injections resulting in decompensation

Facility neglected client resulting in rashes on arms, legs, and feet

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit and conducted interviews and reviewed records. LPA met with Administrator Nancy Montiano and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on interviews conducted and records reviewed the facility attempted to meet the residents needs by scheduling appointments and in-house doctor visits however the resident refused medications and visits. Per interviews conducted Resident (R1) wounds were self-inflected and resident did not allow treatment. Based on interviews conducted no incident occurred of staff physically abusing a client.

Based on observation and interview of staff and residents, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated.