Complaint Investigation Report

361800147-12-6-2021-18-AS-NBRN-CA4MRU-20211227085051

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

11/29/2021 and conducted by Evaluator Anna Bueno

COMPLAINT CONTROL NUMBER: 18-AS-20211129084328

Administrator does not respond to resident's representative.

Staff do not assist resident with incontinence's needs.

Licensing Program Analysts (LPAs) Anna Bueno and Rohit Lama conducted an unannounced visit to this facility to investigate and deliver findings on the above allegations. LPAs met with care coordinator, Araceli Soto and advised them of the purpose of today's visit. The investigation consisted of interviews and review of pertinent documents.

Allegation 1: Administrator does not respond to resident's representative. Interviews revealed that resident 1 (R1) is able to communicate their needs to staff. LPAs observed R1 speaking to several staff. Allegation 2: Staff do not assist resident with incontinence needs. Interviews revealed that the facility changes diapers every two hours. LPAs interviews and observations reveal that R1 needs moderate assistance toileting while resident 2 (R2) bathing are provided by another vendor. Allegation 3: Residents room is malodorous. Interviews show that resident rooms are cleaned daily and have scheduled thorough cleaning weekly. R1 stated that they ask housekeeping staff to clean their personal items as needed.

Based on today's investigation, LPAs finds that the complaints are UNSUBSTANTIATED. A finding of unsubstantiated means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with and a copy of this report was provided to Ariceli Soto.