Senior Care Records.

Complaint Investigation Report

Palm Villas, Redwood City05/06/2022Licence 415600787

Census41
Date signed05/06/2022 11:46:30 AM
The inspector’s account

415600787-5-6-2022-14-AS-JJIN-CHFVRJ-20220819163959

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 851 TRAEGER AVE., SUITE 360

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

05/06/2021 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20210506152640

Staff failed to address a resident's change in level of care

On this day at 1000 hours, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced comlaint investigation visit to deliver the findings for complaint allegations received. LPA met with administrator/licensee Garry Sneper and explained purpose of today's visit.

Regarding the allegation above, it was discovered that staff did recognize a change in R1 baseline status before R1 was transported to the hospital for evaluation. Staff noticed that R1 was more tired and quiet than baseline but no other symptoms were a cause for concern as R1 preferred to be in bed. R1 did not have adverse effect due to receiving second dose of COVID vaccine. Medical review was conducted and there was no indication of respiratory issues, or UTI, that would have alerted staff to hold off on the second dose of the vaccine. This allegation is unfounded.

This agency has investigated the complaint alleging that staff failed to address a resident's change in level of care. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction