Senior Care Records.

Complaint Investigation Report

South County Retirement Home INC., San Martin06/07/2023Licence 435294143

Census46
Date signed06/07/2023 08:05:18 PM
The inspector’s account

435294143-6-7-2023-26-AS-RMAO-CTNK8G-20230712074043

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRAL COAST CR/RES , 2580 N. FIRST STREET, STE. 350

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

02/08/2022 and conducted by Evaluator Manuel Monter

COMPLAINT CONTROL NUMBER: 26-AS-20220208091354

Facility locked in two positive residents in their bedrooms

Facility did not report COVID-19 outbreak within CCLD's COVID-19 protocol.

On 06/07/23, LPA's conducted a complaint investigation regarding the alligations above. LPA's interviewed resident R1 and R2 regarding residents being locked in their rooms during covid out break. R1 stated the faciility did close the door, but does not remember if they locked it. R2 stated they were not locked in their bedroom.

ADM stated the facility sent incident report to CCL reporting covid outbreak.

CCL recived an incident report regarding the covid outbreak on 02/04/2022.

Based on the interviews conducted with clients and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

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