Complaint Investigation Report

361880786-8-14-2025-18-AS-KCLS-DKQNB4-20250820101829

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

01/26/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 18-AS-20220126121631

Lack of supervision resulted in resident sustaining injuries while in care.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to concluded a complaint investigation regarding the above allegation. LPA Prieto met with Memory Care Director Melissa Talley and explained the elements of the complaint.

Allegation #1 - LPA interviewed staff #1, S2, S3 S4, S5, S6. All staff interviewed stated that they did not observe any injuries on resident #1 (R1) during their routine cleaning, bathing and/or daily care of R1. LPA toured the inside of the facility and found it to be clean and free from clutter. LPA Prieto also interviewed R1, who could not express any concerns or any lack of care on her behalf due to R1s diagnosis. LPA Prieto did not observe any injuries on R1 during interview.

Based on the information obtained there is not enough evidence to support the allegation made in this complaint. Thereforre the allegation is deemed UNSUBSTANTIATED at this time.This report was signed by LPA Prieto and Administrator Talley and a copy was left at the facility.