Complaint Investigation Report

167208806-1-27-2023-24-AS-SMOA-CNNLKB-20230202074915

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

11/28/2022 and conducted by Evaluator Mary Garza

COMPLAINT CONTROL NUMBER: 24-AS-20221128163630

Resident was pushed by facility personnel resulting in bruises

On 1/27/2023 Licensing Program Analyst (LPA) M. Garza arrived at facility to complete an unannounced visit to deliver complaint findings. LPA met with Direct Care Staff, Shanita Richmond and Aministrator, Floray Chester was called. Administrator arrived a short time later. LPA was permitted entry to facility. LPA was temperature checked but was not COVID pre-screened with questions at entry. LPA completed a Health and Safety check on residents in care. Residents observed in dining area at time of visit.

During investigation interviews were completed and records requested and reviewed by IB. Per the police report, resident denied facility staff pushing them resulting in bruises. Although the allegation may or may not have happened, it does not meet the preponderance of evidence standard per Title 22. The allegation is UNSUBSTANTIATED.

Exit interview completed. A copy of this report was given to Administrator, Floray Chester.