Complaint Investigation Report

317000237-10-10-2024-59-AS-KHOS-DA6QQH-20241018122224

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO NORTH ASC , 9835 GOETHE ROAD, SUITE 100

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

07/22/2024 and conducted by Evaluator Kerry Hiratsuka

COMPLAINT CONTROL NUMBER: 59-AS-20240722102908

Staff not checking on residents leaving residents in soiled briefs for many hours

LPA Hiratsuka conducted the investigation into the allegation above,

LPA Hiratsuka interviewed staff and reviewed resident records. Interviews stated some residents have been left in soiled briefs for an undermined amount of time and some interviews stated residents have not. Some interviews state residents cannot be put on set schedules of when they need to urinate or defecate because residents do not have control of when they need to do those bodily functions. Residents who have heavier incontinence have been noted in their charts and are supposed to be checked more frequently. Some staff stated the residents are and some stated the residents are not. Some staff stated the residents are supposed to be changed prior to shift change and are not being changed. LPA unable to interview residents in question due to mental capacity.

Based on the above, LPA cannot prove or disprove because each side has their own version of events.

Due to the information gathered, LPA cannot determine the allegation: Staff not checking on residents leaving residents in soiled briefs for many hours. LPA finds allegation to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated.