Complaint Investigation Report

167200404-6-29-2022-24-AS-SMOA-CG9KTA-20220712081046

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

03/22/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20220322143247

Resident sustained injuries while in care.

Resident suffered multiple falls while in care.

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced to conduct follow up inspection.

LPA discussed the purpose of the visit and the elements of the allegations with administrator. LPA Interviewed Staff and resident. LPA Reviewed records and toured the facility.

Based on interviews conducted resident (R1) easily obtained bruising due to the medication she was prescribed. LPA did not discover any specific incidents related to the allegations.

This agency has investigated the complaint alleging Resident sustained injuries while in care and Resident suffered multiple falls while in care. We have found that the complaint was Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit Interview conducted. Report signed on site by administrator; printed copy provided.