Complaint Investigation Report

157209377-1-9-2025-24-AS-SMOA-DCVM4L-20250113081652

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

10/14/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20241014084136

Staff do not ensure residents’ incontinence needs are being met.

Staff are not repositioning resident as needed.

Licensee does not ensure that staff are receiving required training.

On 01/09/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to delivered complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit and met with Administrator Ashley Bell.

During the course of the investigation, records were received, interviews were conducted, and facility was toured. Interviews were conducted with residents that confirms resident do not need repositioning. It was confirmed by R1 and R2 that staff assists and check on residents more often than resident wants staff to. LPA observed R1 sleeping in bedroom. Records were reviewed and recorded facility staff have trainings up to date.Based on observation, interviews conducted, and records reviewed, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report.