Complaint Investigation Report

360902129-6-24-2022-18-AS-EMAN-CFVMSJ-20220630095157

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

01/13/2021 and conducted by Evaluator Efren Malagon

COMPLAINT CONTROL NUMBER: 18-AS-20210113133337

Personal Rights: Staff was verbally abusive to resident.

Licensing Program Analyst (LPA) Stephanie Williams contacted the facility to initiate a complaint investigation into the above allegation via telephone due to the COViD-19 pandemic. LPA identified herself and discussed the purpose of the call with Licensee, James Braswell. The investigation consisted of interviews with staff and residents.

In regards to allegation #1, LPA interviewed Resident #1 (R1) who stated that they were accused by Staff #1 (S1) of bringing the Covid-19 virus into the facility which caused numerous deaths. LPA interviewed S1 who stated that they had mentioned Covid-19 was spreading through the facility due to residents leaving the facility while staff is unaware of their whereabouts. S1 stated that it was a general statement and no names were mentioned. S1 denied being verbally abusive towards resident. LPA also interviewed Staff #2 (S2) who could not confirm what S1 had told R1 exactly during the incident; however, S2 believes, S1 made a general statement and did not personally mention R1's name.

Based on evidence obtained during today's tele-visit, LPA has determined that the above allegation is UNSUBSTANTIATED, meaning that although the allegation 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 where this report was discussed and a copy of this report was sent to Braswell via email.