Complaint Investigation Report

486803808-8-8-2022-21-AS-KMOA-CJAP8S-20220915110602

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

04/29/2022 and conducted by Evaluator Araceli Canela

COMPLAINT CONTROL NUMBER: 21-AS-20220429171508

Facility failed to meet residents care needs

Licensing Program Analyst (LPA), A. Canela arrived unannounced, for the purpose delivering findings, regarding the above listed allegation. LPA met with Health and Wellness director, Helen Casas and toured the inside of this facility, made observations, and previously took statements and requested records.

It was alleged facility failed to meet residents care needs when staff did not assist R1 with incontinent care and was said to have been left in damped bed. LPA did not receive any corroborating statements from staff interviewed. Staff reported they assisted R1 and there were no complaints. LPA was unable to receive any statements from R1, due to R1 not in the facility.

Although the allegations may be true, or are valid, there is not a preponderance of evidence to prove the alleged violations did, or did not, occur. Therefore, the allegation for Facility failed to meet residents care needs is UNSUBSTANTIATED.