Complaint Investigation Report

197608129-9-28-2022-29-AS-JAPL-CMY2N5-20230110163210

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

11/16/2021 and conducted by Evaluator Teresa Camara

COMPLAINT CONTROL NUMBER: 29-AS-20211116135526

Staff did not observe issues with resident's catheter placement.

Licensing Program Analyst (LPA) Teresa Camara conducted an unannounced complaint investigation at the facility. LPA met with Executive Director (ED) Lito Vitug and explained the reason for the visit.

LPA arrived at the facility at 10:25 a.m. and interviewed the ED at 10:48 a.m. LPA had interviewed Resident 1 (R1) during a prior visit. R1 indicated they managed their own catheter. The catheter was a condom catheter but due to anatomical changes it was no longer usable so R1 switched to a bed urinal. R1 indicated the staff assist with cleaning out the urinal but otherwise R1 is capable of using the urinal without assistance. Based on R1's statement that the facility staff did not need to assist with the catheter and R1 self-managed the condom catheter, the allegation staff did not observe issues with R1's catheter placement is deemed Unsubstantiated at this time. Exit interview conducted and report issued via email.