Complaint Investigation Report

486803806-11-5-2024-21-AS-KMOA-DAYRFH-20241113115910

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

10/28/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20241028094900

VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE

Facility staff are not ensuring resident shower is maintained for clients use

Facility staff does not ensure facility is free of tripping hazards

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. During the course of this investigation statements were taken from witnesses and interested parties as well as documents obtained and reviewed, inspections made and photographs taken. The following determinations are made: The shower fixture in Resident's (R1's) apartment has broken on several occasions in the recent past; Three separate work orders marked high priority indicate the fixture was repaired by facility

maintenance; Facility places a red carpet at facility entrance to welcome new residents; carpet is in place temporarily and removed after the welcoming process; Complainant states the carpet is a risk hazard and not secured in place; Administrator states the carpet is secured with tape and that no-one has tripped on the carpet. Although the allegations may be true, or valid, based on documents, statements, and photographs, there is not a preponderance of evidence to prove the allegations are true or, not true. Therefore, the allegations are UNSUBSTANTIATED.