Complaint Investigation Report

486803806-8-22-2023-21-AS-KMOA-CV2QAG-20230825115956

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

06/14/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230614123412

VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE

Licensee does not ensure facility is adequately staffed to meet resident’s needs.

Licensee does not ensure residents are provided a clean mattress.

Staff do not assist residents with bathing as needed.

Staff do not ensure medication is administered to residents.

Licensing Program Analyst Leibert arrives unannounced and meets with Assistant ED to deliver findings. Investigative determinations follow: Residents' mattress, which was damaged as a result of overflowing toilet, was professionally cleaned by facility but not to satisfaction of resdients; facility subsequently reimbursed for a new mattress; Shower logs indicate R1 consistently refused to shower and that R2 was showered by staff in substantial compliance with R2's care plan; LPA received photographs which allegedly depict R1's medication loose on the floor of R1's room; R1's physician has indicated that R1 is able to administer and store R1's medications; Although there has been incidents where staff did not respond to calls for assistance in a timely manner and allegations that staff have been observed to be not fully alert while on duty, no direct evidence was found to prove these issues are the result of inadequate staffing. Although the allegations may be true, or valid, based upon the statements taken, documents reviewed and site visits made to the facility, there is not a preponderance of evidence to prove the allegations are, or are not, true. Therefore, the allegations are UNSUBSTANTIATED.