Complaint Investigation Report

157202769-4-12-2025-24-AS-SPIY-DGFKHA-20250507075449

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

02/26/2025 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20250226161353

On 4/12/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced subsequent complaint visit to conduct additional interviews and deliver findings to complaint. LPA arrived and contacted Administrator by telephone who arrived a short time later to conduct complaint visit with LPA.

This Department investigated the allegation of staff physically abusing resident. During the investigation, this department conducted facility tour, conducted interviews, and reviewed records. Based on review of Resident 1 (R1) records and interviews, it was documented that R1 received injury while being transferred from bed to wheelchair. Hospice records document that R1 has thin, frail skin, and is at high risk for skin tears.

This Department has found that the above allegations are UNFOUNDED, meaning they were false, could not have happened, and/or were without reasonable basis. We have therefore dismissed the complaint.

No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records