Complaint Investigation Report

During interview on 05/06/2025, S6 stated to have never observed staff not providing proper transfer assistance to residents, to have never observed a resident being injured because staff improperly transferred them, and to have not observed a resident requiring two staff to transfer him/her being transferred by only one staff.

During visit on 05/06/2025, LPA Marrufo reviewed the resident records of R2-R9 and did not find any documents, including hospital discharge records or incident reports, related to injuries due to staff not providing proper transfer assistance. There were no resident records that matched the name of R1.

LPA Marrufo obtained copies of pest control invoices from every month between 02/02/2022 to 08/23/2022. The pest control invoices indicate pest control was done against cockroaches.

During interviews on 10/05/2022, R2, R3, and R5 stated to have observed there to be cockroaches at the facility. R4 stated to have not observed there to be cockroaches at the facility. R6 and R7 were not able to respond to LPA Marrufo’s questions.

During interviews on 03/07/2025, S2 stated to have observed cockroaches at the facility. S3-S5 stated to have not observed cockroaches at the facility.

Based on information from interviews conducted with staff and residents, and records reviewed, although the allegations listed above 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 allegations are unsubstantiated.

No Deficiencies were cited under California Code of Regulations Title 22.

This report was reviewed with Administrator Li Li and a copy of this report was provided.