Senior Care Records.

Complaint Investigation Report

Adeline Guest Home, Anaheim08/01/2024Licence 300612904

Census4
Date signed08/01/2024 09:33:12 AM
The inspector’s account

300612904-8-1-2024-22-AS-AORZ-D7RTPE-20240802145414

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

06/17/2024 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20240617115325

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and interviewed staff, residents and witness as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegation that staff hit resident, the investigation revealed the following: Four out of four staff as well as two out of three residents deny any physical abuse occurring at the facility. All but one resident interviewed deny seeing anyone get hit at the facility. LPA observed residents appeared to be taken care of and no visible bruising observed on any resident. Based on interviews conducted, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction