Complaint Investigation Report

286804119-1-2-2024-21-AS-VBEI-CZ5VSQ-20240103154154

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

11/13/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20231113155356

Staff did not seek timely medical care for client

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of this investigation, statements were taken from staff and witnesses, documents were obtained and reviewed as well as site visits made to the facility which included inspections of the kitchen and the food supply and service. Photo's of clients' lunches were obtained. The following determinations are made: Although one client appears to have a sensitivity to cheese, no client in care has a modified diet ordered by a physician or dietician; On 11/03/2023, client (C1) fell at day program and sustained an injury requiring medical intervention; On 11/01/2023, program staff notified facility that C1 was limping at program; Program staff allege that C1 continued to limp on 11/02 while at Program; Facility staff state they were not notified of the continuing limping by C1 and that C1 did not limp when at the facility prior to C1's fall. Although the allegations may be true, based on the statements and documents, there is not a preponderance of evidence to prove the allegations true or, not true. Therefore, the allegations are UNSUBSTANTIATED.