Senior Care Records.

Complaint Investigation Report

A and M IV Home Care, Claremont04/27/2022Licence 198601772

Census3
Date signed04/27/2022 03:07:21 PM
Name of licensing program analystAshley Calderon
Name of licensing program managerFernando Fierros
The inspector’s account

Allegation: Staff neglect resulting in resident being malnourished. During this investigation, the Department of Social Services Investigation Bureau Investigator interviewed R-1’s Placement Agency,

Facility Administrator, Staff #1 through Staff #5 (S-1 through S-5) and obtained relevant documentation for R-1. Per Investigator, there was insufficient evidence to determine that facility staff failed to provide adequate care for R-1. Per Investigator, facility staff provided feeding logs and were also in constant communication with R-1’s Physician and Placement Agency overall R-1’s health. Additionally, per Investigator, the Placement Agency indicated the facility provided care for R-1 and followed R-1’s health plan. R-1 was also offered continuously all R-1’s medication, food and liquid intake. R-1 was transferred to another facility as R-1 required a higher level of care. Interviews and obtained documentation do not corroborate this allegation.

Allegation: Resident suffered from dehydration while in care. During this investigation, the Department of Social Services Investigation Bureau Investigator interviewed R-1’s Placement Agency, Facility Administrator, Staff #1 through Staff #5 (S-1 through S-5) and obtained relevant documentation for R-1. Per Investigator, there was insufficient evidence to determine that facility staff failed to provide adequate care for R-1. Per Investigator, facility staff provided feeding logs and were also in constant communication with R-1’s Physician and Placement Agency overall R-1’s health. Additionally, per Investigator, the Placement Agency indicated the facility provided care for R-1 and followed R-1’s health plan. R-1 was also offered continuously all R-1’s medication, food and liquid intake. R-1 was transferred to another facility as R-1 required a higher level of care. Interviews and obtained documentation do not corroborate this allegation.

Allegation: Resident developed a UTI infection while in care. During this investigation, the Department of Social Services Investigation Bureau Investigator interviewed R-1’s Placement Agency, Facility Administrator, Staff #1 through Staff #5 (S-1 through S-5) and obtained relevant documentation for R-1. Per Investigator, there was insufficient evidence to determine that facility staff failed to provide adequate care for R-1. Per Investigator, facility staff were in constant communication with R-1’s Physician and Placement Agency overall R-1’s health. Additionally, per Investigator, the Placement Agency indicated the facility provided care for R-1 and followed R-1’s health plan. Interviews and obtained documentation do not corroborate this allegation.

Although the allegations may have happened or are 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 was conducted, a copy of this report and Appeal Rights were provided to Mona De La Rosa_.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction