Complaint Investigation Report

331880645-2-28-2022-18-AS-EMAN-CHUQ6S-20220901115401

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

06/29/2020 and conducted by Evaluator Jennifer Semin

COMPLAINT CONTROL NUMBER: 18-AS-20200629105748

Guest Services Manager, Stephanie Frattaroli

Staff did not notify resident's authorized representative of changes in health condition.

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to deliver the findings for the above complaint allegation. LPA met with Guest Services Manager, Stephanie Frattaroli

The investigation consisted of interviews and review of records. The allegation, Staff did not notify resident's authorized representative of changes in health condition. Staff stated that Resident 1’s (R1’s) primary care physician (PCP) and responsible party (RP) were notified regarding R1’s change in condition. Facility documents indicate PCP was notified. There are no facility documents indicating the RP was notified. RP stated they were not contacted by the facility regarding R1’s change in condition. PCP was unable to be contacted refute or corroborate or refute the allegation.

Based on interviews and documentation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 1) is being cited on the attached LIC9099D.

An exit interview was conducted where this report, LIC9099D, and appeal rights were discussed and provided to Stephanie Frattaroli.