Senior Care Records.

Complaint Investigation Report

Agape Pajarillo Care Home, Vallejo10/04/2024Licence 486804103

Census6
Date signed10/30/2024 11:32:39 AM
The inspector’s account

486804103-10-30-2024-21-AS-KMOA-DAQ2SH-20241104163910

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

06/25/2024 and conducted by Evaluator Araceli Canela

COMPLAINT CONTROL NUMBER: 21-AS-20240625100810

Licensing Program Analyst (LPA), Araceli Canela arrived unannounced, for the purpose of gathering more information and delivering findings, regarding the above listed allegation. LPA met with Care staff, Anne Tuason and once again toured the home, made observations and took statements.

It was alleged residents level of care is not met, and that R1 is not being assisted; remains in bed and not getting to medical appoitnments. LPA observed R1 active in the facility on both occasions, making phone calls and setting up medical appointments. R1 stated their POA sets some appointments but R1 is also capable of doing them. If they need assistance from staff, they receive it. Staff disclosed R1 likes to set up their own appointments, but staff will assist if they ever need help. R1 has a coming up eye appoitnment in which facility staff will take R1 to the appointment. Facility staff or R1's POA take turns assiting R1 to medical appoitnmets.

Although the allegation may be true, based on the above information, and records reviewed, there is not a preponderance of evidence to prove or, disprove, the allegation did occur. Therefore, it is UNSUBSTANTIATED at this time. No citation issued.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction