Complaint Investigation Report

415601052-12-29-2023-14-AS-KHOS-D26KLP-20240205070015

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BRUNO RO , 851 TRAEGER AVE., SUITE 360

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

12/22/2023 and conducted by Evaluator Grace Donato

COMPLAINT CONTROL NUMBER: 14-AS-20231222083757

Staff did not ensure that changes in a resident's condition were brought to the attention of a physician.

On 12/29/2023, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Administrator, Ollie Vance and Resident Care Coordinator Shayla Brewster and explained the purpose of the visit.

Regarding the allegation of staff did not ensure that changes in a resident's condition were brought to the attention of a physician, RP stated that he/she is concerned because when he/she is at this facility, RP observes an older resident who seems to be in pain and in distress.

During the investigation, LPA reviewed records that show correspondence between resident care coordinator and admininstrator and physician. Records also show how physician addressed the adjustment of medication for the resident.

Based on the above information, the Department has found that this allegation to be UNFOUNDED, meaning that this allegation was false, could not have happened and/or is without a reasonable basis.

Report was discussed with Administrator and a copy of this report is provided.