Complaint Investigation Report

198602600-9-17-2024-28-AS-RORN-D9NP5E-20241002110037

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

GREATER LA AC/SC , 1000 CORPORATE CNTR DR. ST 500

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/13/2024 and conducted by Evaluator Bennette Pena

COMPLAINT CONTROL NUMBER: 28-AS-20240913133346

Sister Cecilia Marie, OCD, Care Assistant

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced complaint visit to investigate the above mentioned allegation. LPA met with Nathan Nemeth, Administrative Assistant and explained the purpose of the visit. Shortly after, Sister Cecilia Marie, OCD, Care Assistant arrived and assisted LPA.

The investigation consisted of the following: LPA toured the facility's common areas and obtained/reviewed a copy of the Staff/Resident rosters and interviewed Staff #1 (S1)-Staff #2 (S2).

In regards to the allegation: "Staff caused injury to a resident." LPA interviewed Staff #1 (S1)-Staff #2 (S2) who stated that Resident/Alleged Victim is not a resident of the facility and have never been a resident of the facility. S1-S2 stated that some staff are aware of the allegation and the Resident/Alleged Victim resides in the other (RCFE) facility adjacent to this licensed facility. LPA reviewed the Resident roster (dated 09/09/2024) and resident is not listed on the roster. Therefore, the complaint was written for the wrong facility.

This agency has investigated the complaint alleging "Staff caused injury to a resident". Based on the information gathered during this visit, and the staff interviews, the allegation is deemed UNFOUNDED.

A finding of UNFOUNDED means that the allegation is either false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted with Nathan Nemeth, Administrative Assistant and a copy of this report provided.