Complaint Investigation Report

486801846-11-8-2021-21-AS-KMOA-C8W2AF-20211118161327

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 101 GOLF COURSE DR. STE. A-230

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/16/2021 and conducted by Evaluator Katrina Walters

COMPLAINT CONTROL NUMBER: 21-AS-20210916092744

Faciltiy staff are not repositioning resident

Facility staff failed to performe oral care

Licensing Program Analyst (LPA) Walters arrived unannounced to deliver findings regarding the above-mentioned complaint allegations and met with Administrator, Normita Subala (NS) and Licensee, Estrella Valendo (EV).

During investigation LPA interviewed staff, residents, responsible parties and various outside agencies, made observations, reviewed resident records and took pictures.

The complainant alleged Faciltiy staff are not repositioning resident. LPA received statements from resident's R1 and R2 hospice agency, interviewed staff and made observations. Statments and records reviewed did not reveal that staff failed to reposition residents. Based on documents and statements the allegation is UNSUBSTANTIATED.

The complainant also alleged that Facility staff failed to performe oral care. LPA conducted interviews, made observations of resident. Resident R1 seems to have poor oral health, but LPA is unable to deterimined when this has began. Therefore the based on LPA's observations, documents reviewed and interviews, the allegation is UNSUBSTANTIATED.

A finding that the complaint is unsubstantiated means that although the allegation may have happened there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.