Complaint Investigation Report

157203358-8-16-2023-24-AS-MHON-CUSNSB-20230817104251

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

04/20/2023 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20230420150913

Resident obtained unexplained fracture while in care.

On 08/15/23, Licensing Program Analyst arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by Assistant Administrator, stated the purpose of the visit and was allowed entry into the facility.

The Department has investigated the above allegation. Based on records review and interviews, it was determined, Resident R1 has a history of fractures dating back to 2017. R1 moved into the facility in 2020.

Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is Unsubstantiated. Exit interview conducted and copy of report was left with Administrator Assistant. No deficiencies cited on this visit.