Complaint Investigation Report

216803333-6-3-2025-21-AS-KMOA-DHDRXH-20250606132445

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

02/14/2025 and conducted by Evaluator Anthony Loera

COMPLAINT CONTROL NUMBER: 21-AS-20250214163627

Staff left resident in soiled diapers for an extended period of time

On 06/03/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Administrator, Leslie Wilson. During the investigation, LPA conducted interviews, reviewed documents and made observations.

Complainant alleges, Staff left resident in soiled diapers for an extended period of time.

Based upon department document review and interviews, information provided was contradicting with a lack of corroborating evidence to support the allegation. During the investigation the LPA was unable to gather information to support if resident (R1) was left soiled in diapers for an extended period of time. LPA was informed by R1s responsible party they had no concerns regarding R1s care. In addition, a review of R1’s medical records does not show evidence that R1 was left in soiled diapers for an extended period of time.

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.