Complaint Investigation Report

486801888-2-15-2024-21-AS-VBEI-D2J299-20240216161133

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

01/11/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240111095624

Resident left in soiled bedding for long periods of time

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. Based upon interviews, site visits, and document reviews, the following determinations are made: Staff state no Hospice Care Plan was left at facility until after January 18; LPA noted no Hospice Plan at facility on Jan. 18; Hospice management state a care plan was left in November, 2023; Following site visit of Jan 18, LPA advised Hospice that no care plan was at facility; LPA noted care plan at facility on subsequent site visit of Jan 23; Complainant has not personally observed Resident (R1) but has suggested several witnesses to R1's neglect; Only one witness( W1) has responded to this Department's request for a statement and W1's statement does not support the allegations of neglect; R1 and R1's bed were clean at three LPA unannounced visits; Facility staff did not document administrations of PRN medication ordered by physician but state that PRN medications were administered according to the physician's orders. Although the allegations may be true, based upon statements, documents, site visits, there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, allegations are UNSUBSTANTIATED.