Complaint Investigation Report

275294322-8-29-2022-26-AS-SMOA-CQSVEA-20230411162201

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

04/20/2020 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 26-AS-20200420143926

Staff handles resident in a rough manner resulting in bruising

Resident sustained skin tears while in care

Staff not responding to resident's complaint of pain

Staff did not allow resident to make telephone call

Staff did not administer resident oxygen properly

Licensing Program Analyst (LPA) M. Yang arrived unannounced on 08/29/22 at 09:45 AM to conclude the complaint investigation. Upon arrival LPA met with Administrator Tony Montellano and stated the purpose of the visit.

A complaint was received on April 20,2020, alleging the following; Staff handles resident in a rough manner resulting in bruising; Resident sustained skin tears while in care ; Staff forces resident to take medication ; Staff not responding to resident's complaint of pain ; Resident call pendent not working ; Staff did not allow resident to make telephone call ; Staff did not administer resident oxygen properly. During the course of the investigation the department conducted interviews and reviewed relevant documents, medical records, residents’ files, medication records, call logs. Based in the information obtained during this time period, the allegations could not be confirmed or corroborated.

The Department has investigated the above mentioned allegations and has determined that the complaint is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated.