Complaint Investigation Report

306005501-2-15-2023-22-AS-SSAS-CPC3V8-20230223173443

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

01/13/2022 and conducted by Evaluator Michelle Reed

COMPLAINT CONTROL NUMBER: 22-AS-20220113153608

Resident claims facility staff are poking his eye and slapping his hand off the table

Licensing Program Analyst Michelle Reed arrived at the facility to complete this complaint investigation. Upon arrival, LPA met with Manager Rowel Rivera. Administrator Wesley Pao was contacted and he stated he could not come to the facility. Three residents were resting in their rooms and three were watching tv in the living room.

Resident #1 was admitted into the facility on 9/2/20. Resident #1 has Parkinson, Mild Cognitive Impairment and is wheelchair bound. He needs assistance with all activities of daily living. Interviews with random staff disclosed that R1 can get very confused and agitated at times. Staff deny personal rights violations. Residents present could not be interviewed due to their cognitive impairment.

Based upon the review of records and the interviews conducted with staff, R1 and witnesses, the allegation is unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Rowel Rivera and a copy of this report was provided.