Complaint Investigation Report

197609889-12-23-2021-31-AS-NMAN-CNDRCD-20230124115409

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

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

11/29/2021 and conducted by Evaluator Eleza Jackson

COMPLAINT CONTROL NUMBER: 31-AS-20211129160812

STAFF DID NOT SEEK MEDICAL ATTENTION IN A TIMELY MANNER

On this day Licening Program Analyst (LPA) Eleza Jackson conducted a facility tour to ensure no immediate health and safety issues were present. LPA Jackson did not observe any immediate health and safety issues. LPA Jackson met with the facility administrator upon her arrival at approximately 1430hrs and explained the reason for this visit.

It is alleged that the facility administrator did not seek medical attention in a timely manner for Resident 1 (R1) in the facility. LPA conducted interviews with resident(s), administrator, and facility staff on 12/01/21 from approximately 10:20-11:20am. Interviews revealed that the Facility Administrator admitted to waiting over 20 days to send R1 to hospital for medical attention. Based on the information obtained through interviews this allegation is deemed Substantiated at this time.