Complaint Investigation Report

275202817-2-6-2024-24-AS-BCHN-D283BV-20240206170658

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

08/29/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230829083953

Resident sustained unexplained injury in care.

Licensing Program Analysts (LPA's) Sarah Hurt and Lisa Salazar conducted an unannounced facility visit deliver findings on the above allegations. LPA met with facility Administrator, Joy Carter over the phone and explained the purpose of today's visit.

Regarding the allegation Resident sustained unexplained injury in care. Facility Resident 1 did sustain an unexplained injury at the facility on 08/14/23. The facility did seek medical care for Resident 1 in a timely manner. LPA reviewed Resident`R1's Physicians report that does not indicate R1 is in need of 1:1 staffing. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficincies cited Per 22 Regulations. Exit interview conducted with Administrator, Joy Carter, and a copy of this report left at the facility.