Complaint Investigation Report

216803891-10-15-2024-21-AS-VBEI-DAAPWA-20241022114026

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

09/11/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240911120712

Staff did not meet a resident's incontinence needs

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: It is alleged that staff did not meet resident's (R1's) incontinent needs and that staff mishandled R1's medication; This investigation found no evidence of neglected incontinent needs for R1; Medication Administration Record for R1 suggests that one dose of a topical creme prescribed for R1 was not administered; Administration states that the dose was administered but not recorded due to a miscommunication between the staff administering the medications to residents. Although the allegations may be true, based on the statements and documents reviewed, there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED.