Complaint Investigation Report

216804066-4-10-2025-21-AS-KMOA-DFSUFK-20250416153253

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

04/07/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20250407170351

Staff are not adequately addressing resident's fall risk.

On 04/10/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating a complaint investigation regarding the above complaint and delivering complaint findings. LPA arrived and met with Karina Vasquez, Business Director. During the investigation, LPA reviewed records, conducted interviews and made observations.

Compliant alleges, Staff are not adequately addressing resident's fall risk.

Based upon department interviews, information provided was contradicting with a lack of corroborating evidence to support the allegation. Per interviews conducted, facility has caregivers assiting with Resident's (R1) care as checking on R1 every hour and explored options for one-to-one care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.