Complaint Investigation Report

345002868-7-21-2022-25-AS-MSEY-CGSKV9-20220729081353

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

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

04/12/2022 and conducted by Evaluator Sabrina Calzada

COMPLAINT CONTROL NUMBER: 25-AS-20220412134911

POA not notified of incidents involving resident behavior

Allegation is resident’s representative was never notified of resident’s behaviors which were the basis of the eviction notice being issued. This allegation was inadvertently not listed on the other report page so is being listed separately.

Licensee stated to LPA on 4/14/22 that resident’s POA was upset that she was not reached out to regarding resident behaviors that were not safe. Eviction letter to resident’s representative states that facility staff have only communicated with resident R1 “on multiple occasions” about her behavior from Feb-April.

Documentation provided by POA notes that on 3/28/22 (5:01 pm) R1 texted her POA that she was reprimanded by staff (S2) for rubbing Mary’s back and that Licensee would send POA a picture of R1 combing R2's hair. POA stated that she never received an emailed picture of R1 combing R2’s hair. Administrator stated she discussed R1's behavior with the POA "very often" since she visited regularly. Licensee stated she also discussed by phone the issues with R1's trying to provide care to R2.

Based on information obtained during the investigation, LPA finds the allegation to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred,