Complaint Investigation Report

486803987-4-30-2024-21-AS-KMOA-D4WTB3-20240503143428

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

04/04/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240404114856

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. It has been alleged that the facility has not met R1's care needs in that R1, prior to R1's admittance to a medical facility, had lost weight, refused food and medications, and neglected routine hygiene care. This investigation, based on statements and document reviews, indicates the following: R1 has a history of periodic bouts of self-neglect; On or about 4/25/2024, R1 was admitted to a medical facility; Facility records indicate R1 began refusing medication a few days prior to hospitalization and that a report was made of R1's declining state on 4/25 to this agency and R1's Responsible Person as required by Title Twenty-Two; Facility Administrator called 911 who assessed R1 and determined R1's need for inpatient care; R1's Responsible Person states that the facility staff have provided good care to R1 and that staff have taken appropriate action to assist R1 despite R1's often refusal to accept care. Although the allegation may be true, based on statements and documents, there is not a preponderance of evidence to prove, or disprove, the allegation. Therefore, the allegation is UNSUBSTANTIATED.