Complaint Investigation Report

197606171-8-5-2022-28-AS-RORN-CHVNPN-20220902103837

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

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

07/28/2022 and conducted by Evaluator Glenn Trueman

COMPLAINT CONTROL NUMBER: 28-AS-20220728164752

Staff sedated resident with meds causing resident to pass out

Staff not making sure resident is given enough water

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to the facility and was greeted by Assistant Administrator Carmen Virrueta and explained the reason for the visit.

The purpose of the visit is to conduct a 10 day complaint visit in regards to the above allegations.

At today's visit 08/05/22 at 9:30 AM S1 was interviewed. Staff S1 stated Resident R1 was not a resident at this facility and resides at another licensed facility.

LPA spoke with S2 staff at another licensed facility who confirmed that R1 is a resident at that facility. Resident Roster was submitted at today's visit and it does not list R1 as a resident. Based on interviews conducted and review of rosters it was determined that R 1 does not reside at this facility.

Based on the information gathered during this visit, the allegations are deemed UNFOUNDED. A finding of UNFOUNDED means that the allegation is either false, could not have happened, and/or is without a reasonable basis. Exit interview conducted.