Complaint Investigation Report

415601140-6-10-2024-14-AS-KHOS-D6JGUF-20240624053901

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

05/03/2024 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20240503102451

- Staff do not answer residents calls for assistance timey

On 06/10/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver the findings regarding the allegation received. LPA met with the administrator Ricardo Aban and explained the purpose of today's visit.

During the investigation, LPA conducted interviews with staff, R1, and reviewed pertinent documents. Per interviews it was found there were call button calls made by R1 to the front desk nurses station. The button was pressed about 2 to 3 times during the time frame of 630pm to 7pm by R1 according to the staff person who worked that evening at the front desk. The staff person interviewed indicated that the call button system was working. The front desk staff alerted caregiving staff via facility radio to assist R1 but had no way of confirming that staff did respond timely to assist R1. Per documentation reveiwed and interviews conducted this allegation is substantiated.

Based on LPA interviews and items letters received, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC9099D. Report is reviewed with Ricardo and copy is provided.