Complaint Investigation Report

198601962-8-6-2024-28-AS-RORN-D7XTWT-20240808150603

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

07/23/2024 and conducted by Evaluator Tena Herrera

COMPLAINT CONTROL NUMBER: 28-AS-20240723101048

Due to lack of supervision, resident fell sustaining an injury.

Staff did not notify authorized representative of incident.

Staff did not seek timely medical care for resident.

Licensing Program Analyst (LPA) Tena Herrera made an unannounced subsequent visit to deliver findings on the above allegations. LPA met with Assistant Administrator Zach Miller and explained the reason for the visit.

- The investigation consisted of the following: During initial visit dated 7/23/24 LPA obtained copies of Resident Roster, Face Sheet, Hospitalization Census List (from Skilled Nursing Facility (SNF) – Southland Care Center - that is separate from Assisted Living) and interviewed both Administrator at Southland Living and Administrator at Southland Care Center (SNF). Based on interviews conducted and review of rosters and review of Resident #1’s (R1) admission record, it was determined that R1 resides at Southland Care Center not Southland Living. It was also determined that R1 has never resided at Southland Living.

- 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. We have therefore dismissed the complaint. Exit interview conducted and a copy of this report was provided.