Complaint Investigation Report

312700901-3-22-2022-25-AS-MSEY-CCYRTT-20220329131848

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

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

12/28/2021 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 25-AS-20211228145848

Facility staff speaks and treats residents in a disrespectful manner

Facility staff failed to properly notify family concerning a residents hospital visit/admission

On 12/16/21, Licensing Program Analyst (LPA) Kevin Mknelly spoke to Licensee of facility. The reason for the visit was to deliver findings for the allegation sited above. Upon entering the facility, analyst spoke with staff to pre-screen that the facility is COVID free. Analyst also self-screened for having no known symptoms or exposure. Analyst followed facility's screening, wore a surgical mask and maintained distance during the visit.

LPA reviewed staff and resident records and conducted extensive interviews.

LPA finds that the allegation cited above are Unsubstantiated.

Neither residents nor staff coroborated that Licensee was disrespectful to or threw water at a resident.

Licensee stated that she always notified families of resident hospitalizations.

As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means 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.

Exit interview with administrator report provided.