Senior Care Records.

Complaint Investigation Report

Arc Facility at Camino 2, Fullerton07/25/2024Licence 306002916

Census6
Date signed07/25/2024 11:16:35 AM
The inspector’s account

306002916-7-25-2024-22-AS-MSTC-D7PVKX-20240731163104

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

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

07/18/2024 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20240718090547

Staff refuses to assist resident with transfers

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with the Administrator Mike Adams and explained the reason for the visit. The investigation into the allegation revealed the following. LPA interviewed Resident 1 (R1). R1 reported that the Administrator refused to assist them transfer out of bed since they are non-ambulatory. The Administrator verified this report. R1 and the Administrator reported that the fire department was called and they responded to the facility on July 24, 2024. R1 and the Administrator verified that R1 was transferred with the help of the firemen on July 24, 2024. The Administrator reported that at the time they could not assist R1 because of back issues. Based on the evidence gathered through interviews the preponderance of evidence standard has been met therefore the allegation is substantiated. Deficiencies are cited are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report was provided along with appeal rights.

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