Complaint Investigation Report

247209204-9-9-2024-24-AS-BCHN-DAA5RE-20241021201102

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

04/15/2024 and conducted by Evaluator Brianna Miranda

COMPLAINT CONTROL NUMBER: 24-AS-20240415120719

Staff did not ensure that resident's hygiene needs were met while in care.

On 9/9/2024 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to deliver the findings for the allegations listed above. LPA introduced herself and explained the reason for the visit. LPA met with Administrator (AD) Doderlein Anaya Fernandez.

1. The Department investigated the allegation: Staff did not ensure that resident's hygiene needs were met while in care. During the interviews LPA was informed and pictures were provided showing R1 to have bowel movement (BM) dried to the buttock area. Interviewees stated when they saw R1 they smelt of BM and urine.

Based on LPAs observations, interviews, which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter number 8, are being cited on the attached LIC 9099D.

Exit interview was conducted and a copy of this report LIC9099, LIC9099D, and appeal rights were provided to Administrator Doderlein Anaya Fernandez.

***Report Amended to add POC to LIC9099D***