Complaint Investigation Report

415600897-6-22-2022-14-AS-KHOS-CG9H9N-20220712060014

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

03/25/2022 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20220325155315

Resident sustained pressure injury while in care.

On this day Licensing Program Analyst (LPA) Jaime Vado and Kevin Varilla conducted an unannounced complaint investigation visit to deliver the findings of the above allegation. LPA met with caregiver Carlos Ordonez and explained purpose of today's visit.

During the course of the investigation interviews were conducted, resident medical records were reveiwed, and facility records are reviewed. It was found that the resident's wound was discovered by facility staff on 3/12/2022 and was seen by the residen't PCP on 3/15/2022. The PCP recommended home health to care for the recovery of the wound. PCP described the injury as occurring naturally due to skin break down to the foot. Home health provided care to the foot and did not give the facility specific instructions to the staff besides elevation. The allegation is unfounded.

This agency has investigated the complaint alleging residen sustained pressure injury while in 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.