Complaint Investigation Report

360900455-11-10-2021-18-AS-EMAN-C9AUC4-20211201142718

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

05/08/2020 and conducted by Evaluator Jennifer Semin

COMPLAINT CONTROL NUMBER: 18-AS-20200508122120

Staff are not providing resident with diapers and liners

Licensing Program Analyst (LPA) Jennifer Semin conducted an unannounced visit to initiate an investigation into the above complaint allegations and deliver the findings. LPA met with Administrator Lisa Leak.

The first allegation, Staff are not providing resident with diapers and liners. Administrator stated Resident 1’s (R1’s) diapers and liners are provided by Innovage. Administrator stated R1 was provided with adult diapers with pull tabs while awaiting Innovage order to arrive. R1 stated she does not usually run out of diapers and liners, but she did once and the facility gave her large plastic adult diapers with sticky tabs until her order came in.

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 the administrator.