Complaint Investigation Report

374601046-7-18-2022-18-AS-DMUN-CH6QGC-20220810120919

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

05/26/2022 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20220526161428

Tania Dupre, Associate Executive Director

Resident sustained pressure injuries while in care.

Licensing Program Analyst (LPA) Chinwe Nwogene made an unannounced visit to the facility to conclude a complaint investigation into the allegation listed above. LPA met with Associate Executive Director, Tania Dupre, and discussed the purpose of the visit. During the investigation, LPA interviewed Resident 1 (R1), Nurse, Executive Director and reviewed resident files.

Regarding the allegation “Resident sustained pressure injuries while in care” during the interview with R1, it was acknowledged that R1 had multiple sores prior to moving into the facility. LPA interviewed R1’s nurse, who confirmed R1 has multiple pressure injuries and is receiving treatment for said injuries. LPA received R1 Physician report which indicated the presence of injuries prior to R1 admission into the facility.

Based on interview with resident, Nurse and file review, there is not enough evidence to corroborate the allegation that Resident sustained pressure injuries while in care. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report was reviewed with and provided to Tania Dupre.