Complaint Investigation Report

336427235-2-15-2023-18-AS-NBRN-CPFQJB-20230227111229

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 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

05/11/2021 and conducted by Evaluator Amy Goldenberg

COMPLAINT CONTROL NUMBER: 18-AS-20210511120106

This unannounced visit by Amy Goldenberg, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation of the allegation noted above. Investigation consisted of resident and staff interviews. It is alleged that S1 scratched the bottom of C1 during personal care. Investigation revealed the following: Five (5) out of (5) residents interviewed agree that they have never been treated roughly during personal care. Four (4) of four (4) staff interviewed deny handling residents roughly during personal care or have knowledge of staff handling residents roughly during personal care. At this time the evidence does not support or refute the allegation. We have found the complaint allegations are unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.