Complaint Investigation Report

331800055-5-12-2022-18-AS-EMAN-CEPUPV-20220523154609

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

02/01/2021 and conducted by Evaluator Jennifer Semin

COMPLAINT CONTROL NUMBER: 18-AS-20210201151221

Staff prevented a resident from having access to a wheelchair while in care

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to deliver the findings for the above complaint allegations. LPA met with Administrator, Cristina Miller. The investigation consisted of interviews, observations, and records review. In regard to the allegation, Staff isolated a resident while in care. Reporting Party (RP) stated Resident 1 (R1) was being isolated for up to 2 weeks after returning from the hospital. RP was not made aware that R1 was being isolated. Staff 1 (S1) stated R1 was quarantined for up to 2 weeks upon returning from the hospital while awaiting COVID test results. Facility resident notes indicated R1 was on quarantine upon returninmg from the hospital. S1 stated when R1 received a negative COVID test result, R1 was no longer quarantined. In regard to the allegation, Staff prevented a resident from having access to a wheelchair while in care. RP stated R1 did not have access to R1’s personal wheelchair and was using a facility wheelchair. S1 stated R1 did have access to a wheelchair but did not recall what wheelchair R1 was using. S1 stated R1 did have access to a wheelchair and walker while in care. Based upon interviews and information gathered, and although the allegations 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 allegations are UNSUBSTANTIATED at this time. An exit interview was conducted where this report was discussed and provided to Ms. Miller.