Complaint Investigation Report

236804090-8-12-2024-21-AS-BMOS-D8CUDR-20240821152956

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

04/30/2024 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20240430145056

Facility staff are not assisting resident with transfers

At approximately 10:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Administrator Isaac Rolle and reviewed records. Based on a review of records and interviews conducted, facility staff did not assist resident in transfers out of bed. Staff interviewed stated they were informed to not move resident into the wheelchair, but could not provide documentation of such an order. LPA observed the physician report notes the use of a hoyer lift for transfers. Pre Admission appraisal shows residents desire to get out of bed into the wheel chair. Resident utilized an oversized wheel chair that did not fit easily through the doorway to the bedroom. Resident was listed as Non-Ambulatory. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator and Appeal rights were given.