Complaint Investigation Report

486803806-10-1-2024-21-AS-KMOA-DA4NMT-20241016103540

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

06/24/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240624152843

VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE

Resident sustained a pressure injury due to lack of care from staff

Staff are billing resident for services not being rendered by staff

Staff do not ensure that resident receives daily activities

Staff do not ensure that resident is adequately fed

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigation five site visits were conducted, statements were taken and documents were obtained and reviewed. The following determinations are made: The Complaint Subject (R1) and spouse (R2) state that they have received satisfactory care from staff and do not desire to engage in facility sponsored activities; R1's Physician states Physician has received no negative reports regarding care from Hospice and Home Health nurses; R1's Hospice Nurse reports no concerns regarding facility's care provided to R1, including weight maintenance. Although the allegations may be true, or valid, based upon statements and reviewed documents there is not a preponderance of evidence to prove, or disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED.