Complaint Investigation Report

486803645-7-6-2022-21-AS-BMOS-CHZU4C-20220906151448

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

06/08/2022 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20220608122133

Staff not trained to address serious behaviors resulting in residents being injured

At approximately 9:45AM, Licensing Program Analyst's (LPA's) Caitlynn Felias and Chris Arnhold arrived at this facility to conduct an investigation into the above allegations. LPA's met with Resident Services Director Mae Mora, toured the facility, interviewed staff and reviewed records. Based on records reviewed, staff records do not contain evidence of required annual training for dementia specific training. LPA's reviewed staff training documentation and found the documented training did not meet the requirements of regulation.

Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Mae Mora and Appeal rights were given.