Complaint Investigation Report
197603936-12-2-2021-29-AS-JAPL-C9PQCH-20211214110310
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CCLD Regional Office , 21731 VENTURA BLVD. #250
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2021 and conducted by Evaluator Sandra Urena
COMPLAINT CONTROL NUMBER: 29-AS-20211201155733
Resident sustained pressure injuries while in care.
Facility did not seek timely medical treatment for changes in resident's health.
On 12/2/2021, Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced initial 10-day complaint investigation visit regarding the above allegations. LPA Urena arrived at the facility at 9:45 a.m., and spoke on the phone with the Administrator Alexsandra Vartapetova, and explained the purpose of the visit.
At 10:00am, LPA Urena conducted file review for six residents. At 10:15 a.m. LPA Urena interviewed staff.
On the allegations: Resident sustained pressure injuries while in care, and Facility did not seek timely medical treatment for changes in resident's health. Based on observation, records review, and staff interviews, the Resident was never admitted at this facility, therefore this allegation is found to be Unfounded at this time.
No deficiencies cited. Exit interview conducted with Administrator Alexsandra Vartapetove. Signatures obtained. A copy of report was issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction