Complaint Investigation Report

331881248-8-1-2024-56-AS-KCLS-D9LVKC-20240930163003

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BERNARDINO , 1650 SPRUCE ST STE 200 MS29-27

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

05/31/2024 and conducted by Evaluator Magda Malcore

COMPLAINT CONTROL NUMBER: 56-AS-20240531155038

Facility staff are not assisting resident with hygiene needs

Licensing Program Analyst (LPA) Magda Malcore conducted an unannouced complaint visit to the facility. LPA met with Alma Espinal, Administrator, and was informed of the visit.

Regarding the allegation, facility staff are not assisting resident with hygiene needs, During today's visit, LPA observed ants on resident #1(R1's) mattress. R1 lifted their pillow and several ants were observed on the pillow. Two (2) staff immediately changed the linen and mopped the floors. Interviews with staff reveal that R1 often eats in his bed and could be attracting the ants. LPA record review reveals, on 6/29/24, R1 was seen by a medical professional who described R1 as having poor personal hygiene.

Based on LPA record review and observations, the allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation(s) is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where reports (LIC9099&LIC9099-D) were discussed and provided with appeal rights to the Administrator at the conclusion of the visit.