Complaint Investigation Report

486803806-10-25-2022-21-AS-CMAZ-CKMUF3-20221028153204

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

07/12/2022 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20220712110529

VILLAGE AT RANCHO SOLANO ASSISTED LIVING, THE

Neglect/Lack of Supervision resulted in resident sustaining multiple fractures while in care

Staff are not providing adequate food service to residents

Staff are not meeting residents hygiene needs

LPA Leibert arrived unannounced and met with Pam Hardesty to discuss findings on this complaint. This Department investigated the allegations by making site visits, taking statements, reviewing documents and photographs. The following determinations are made: Statements and documents suggest that R1's fall was not the result of staff neglect and there is conflicting statements regarding the allegation staff pushed R1; Complainant has not responded to this Department's request for information regarding the false reporting allegation; Documents and statements indicate that R1 frequently refused staff's attempt to provide hygiene care and showers; Reviews of facility's menus and discussions with witnesses suggests that the food service at the facility meets the requirements of Title Twenty-Two regulations; There are differing opinions regarding the staff's compliance with requirements to wear masks; At every unannounced site visit to the facility, staff and visitors were observed to comply with the masking mandate. Although the allegations may be true, or valid, based upon the statements, site visits, documents reviewed, there is not a preponderance of evidence to support the allegations. Therefore, the allegations are UNSUBSTANTIATED.