Complaint Investigation Report

486800368-5-23-2024-21-AS-BMOS-D6DME9-20240619093220

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

05/09/2024 and conducted by Evaluator Julie Florio

COMPLAINT CONTROL NUMBER: 21-AS-20240509082643

Kevin J. Hogan, Health Care Administrator

Facility failed to meet residents incontinent care needs.

Licensing Program Analyst (LPA) Julie Florio arrived unannounced at this facility to deliver findings of above allegation. LPA met with Administrator, Kevin J. Hogan. LPA conducted 10-day on 5/14/2024 and was informed that resident (R1) resides in the skilled nursing facility (SNF) portion of the community. LPA obtained documentation to confirm and cross reported allegation and concerns to Department of Public Health. Although CCL issues the license for Continuing Care Retirement Community (CCRC), CCL does not have jurisdiction to investigate above allegation. R1 as of 5/15/2024. no longer resides in the SNF. Based on record review, interviews conducted, and observations made, the allegation of facility failed to meet residents incontinent care needs is UNFOUNDED. A finding that the complaint is unfounded means that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.