Complaint Investigation Report

157203167-12-16-2024-24-AS-SMOA-DC4TD5-20241219133746

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

09/05/2024 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20240905090455

Due to neglect/lack of supervision resident has suffered multiple unwitnessed falls and was sent to the ER.

Licensing Program Analyst (LPAs) K. Kaur and L. Salazar arrived at the facility for a subsequent visit to deliver findings. LPA met with Administrator Alicia Maria Ortiz and explained the purpose of the visit and reviewed the elements of the allegations. CEO Trisha A. LaGue arrived a short while later. LPA delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on interviews and records reviewed the resident was experiencing pain, swelling/ bruising and was sent to the Hospital on 8/30/2024, 8/31/2024, 9/1/2024 due to the facilities concerns. After discharge resident was taken to Primary for an assessment.

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.