Complaint Investigation Report

486803921-7-6-2023-21-AS-HDBI-CUCP3E-20230803105726

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

05/18/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230518170036

Facility staff do not provide adequate hygiene service.

Facility staff do not provide adequate food service.

Staff do not respond to call bells in a timely manner.

This complaint has been investigated through multiple site visits, statements from witnesses, and review of pertinent documents. Today, Licensing Program Analyst Leibert arrives unannounced and meets with the Administrator to discuss the findings: R1's care plan requires weekly bathing and assistance with grooming; Care notes report an incident when R1 refused to get out of bed; Shower logs fro R1 indicate R1 refused showers on 5/19,5/23,6/2,6/16; LPA Leibert sampled food service on three occasions and found food to be fresh, nourishing and warm or hot; A sampling of call response logs over a 3 day period resulted in most calls answered in less than one minute with one 9 minute response and one 10 minute response; LPA noted the facility to be clean and in good repair during 3 recent unannounced site visits; Facility has no maintenance record of repair to R1's toilet but reports a service call to clean toilet on 5/15. Although the allegations may be true, based on statements, documents, and observations, there is not a preponderance of evidence to prove the allegations did, or did not, occur. Therefore, the allegations are UNSUBSTANTIATED.