Complaint Investigation Report

306006014-10-23-2025-22-AS-APAO-DMRPTW-20251024113636

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

10/17/2025 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20251017151548

Facility staff did not seek medical attention for resident

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate the investigation into 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 Administrator and resident as well as reviewed and obtained pertinent documentation such as hospice notes. Regarding the allegation that facility staff did not seek medical attention for resident, the investigation revealed the following: Per physician report dated 08/21/2024, Resident 1 (R1) is diagnosed with Multiple Sclerosis. Resident is on hospice care with Acacia Hospice and has a wound on the sacrum. Per hospice documentation, R1 is being seen for wound care every 1-2 days. Interview with resident confirmed resident is being seen for wound care nearly daily and stated satisfaction with the care being provided. Per facility documentation, resident is being repositioned and checked every 2 hours as directed by hospice. Facility notes show resident's bandage being replaced by facility staff when soiled. Based on interviews conducted and record review, The allegation is deemed UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was left at the facility.