Complaint Investigation Report

331880552-11-8-2021-18-AS-EMAN-CM4UZF-20221214150128

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

03/18/2021 and conducted by Evaluator Jennifer Semin

COMPLAINT CONTROL NUMBER: 18-AS-20210318100048

Staff member inappropriately handled resident.

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to the facility to deliver the findings for the above complaint allegation. LPA met with Administrator Anna Bella Vito.

The investigation consisted of interviews and record review. The allegation, Staff member inappropriately handled resident. All staff stated they do not handle residents roughly or inapproprioately. Staff 1 stated Resident 1 (R1) did not report anything to her nor did R1 have any sign of injury. Relevant party stated Resident 1 (R1) did not have any signs or symptoms of injury, complaint of any staff mistreatment and was R1 was on pain management medication. R1 stated the staff were very nice and never hurt her.

Based on interviews and although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED at this time.

An exit interview was conducted where this report was discussed and provided to Ms. Vito.