Complaint Investigation Report

374602972-7-15-2025-08-AS-APAO-DJLTYF-20250715150841

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRALIZED APP UNIT , 744 P STREET, MS 9-14-8201

This is an official report of an unannounced visit/investigation of a complaint received in our office on

06/15/2021 and conducted by Evaluator Donna Teutschel

COMPLAINT CONTROL NUMBER: 08-AS-20210615122559

Staff neglect resulted in injury to resident

Facility staff did not meet resident’s incontinence care

Facility staff did not meet resident’s care needs

Facility did not maintain a clean and sanitary room for resident

LPM II RA, Donna Teutschel conducted a telephone conference with Administrator, Maria Shetler regarding the above allegations. Resident no longer at facility. Based on the information received to date, the Department is unable to prove or disprove the allegations and findigs are determined to be Unsubstantiated..

Administrator email: MARIA.SHETLER@PLAZAVILLAGE.COM