Complaint Investigation Report

216803891-10-15-2024-21-AS-VBEI-DAAPD8-20241022111307

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

07/01/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240701143513

Staff do not meet resident's incontinence needs

Staff take away a resident's night call button

Licensing Program analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigation statements were taken, documents obtained and reviewed as well as site visits made to the facility. The following determinations are made: Complainant alleges that facility staff took resident's ( R1's) call button from R1 and that photos exist that show R1's incontinent needs were not met; R1 denies staff took R1's call button; Complainant has not produced photos of R1's neglected incontinent needs; R1's Physician's Assessment dated 6/2/2024 does not indicate R1 is incontinent; R1 states that staff did not meet R1's incontinent needs; Facility Administration state R1 requested incontinent briefs in order to avoid getting out of bed at night. Although the allegation may be true, based upon the statements and documents, there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED.