Complaint Investigation Report

360900521-12-28-2022-56-AS-KCLS-CPKTN7-20230303135214

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

12/22/2022 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20221222140837

Resident became severely dehydrated while in care

Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility for the purpose of initiating and delivering findings on the complaints above. LPA met with Keely Miller Administrator who was informed of the purpose of my visit and the allegations above.

LPA conducted interviews and reviewed Resident (R1) file and at one point would feed themself without assistance. (R1) level of care has changed and has been feed by staff members to ensure that the resident is not deprived of food and liquids. LPA observed that the resident had been feed lunch and interviews conducted it was confirmed the resident is currently being feed and given water by staff members throughout the day.

Based on the investigation, the above finding is 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.