Complaint Investigation Report

157203255-3-27-2024-24-AS-BCHN-D8EPSB-20240823113400

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

03/20/2024 and conducted by Evaluator Vadim Gorban

COMPLAINT CONTROL NUMBER: 24-AS-20240320085715

Staff leave resident unsupervised for extended periods of time

Staff are not providing adequate care and supervision to resident

On 3/26/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to commence a complaint investigation. During this visit LPA met with facility Administrator (AD) Russ Sedam and stated the purpose of the visit. LPA toured the facility inside and out and observed residents in care.

Once the tour was complete, LPA discussed the allegations with AD.

Allegations: Staff leave resident unsupervised for extended periods of time, Staff are not providing adequate care and supervision to resident

Based off of records review and the facility personnel interviews the residents are not left unattended in the facility at no time. During the visit on 3/26/24 based of off LPA observation the facility staff providing adequate care and supervision to residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted, report signed and copy of this report provided to the Administrator for facility records.