Complaint Investigation Report

486803806-10-30-2023-21-AS-KMOA-CX6VKS-20231101163050

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

09/26/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230926122904

VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of the investigation, witnesses were interviewed; site visits made; documents were obtained and reviewed. The following determinations are made: It has been alleged that unnamed staff spoke rudely to R1 while providing hygiene care to R1; Staff who routinely provide care for R1 deny the allegation; Family members report having been told by R1 of the rude behavior by staff; R1 has denied the allegation when interviewed in private by staff from this Department; No actual witnesses to the alleged behavior have been identified. Although the allegation may be true, based upon the statements and documents reviewed, there is not a preponderance of evidence to prove the allegation did or, did not, occur. therefore, the allegation is UNSUBSTANTIATED.