Complaint Investigation Report

486803251-3-21-2024-21-AS-KMOA-D3ZN6M-20240404101121

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

01/12/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240112133609

Facility staff did not ensure resident was provided proper nutrition.

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of this investigation, statements were taken, documents reviewed, and site visits were made to the facility. The following determinations are made: Complainant alleges R1 does not receive proper nutrition and has lost weight as a result; Complainant alleges R1 states the Administrator yells at R1; Complainant has no direct knowledge of R1's personal rights status; R1 refuses food prepared by facility staff and chooses to eat a restricted diet of mostly organic fruit; Other residents interviewed by this Department have not confirmed R1's allegations regarding personal rights violations; Site visits to facility show a well stocked kitchen with plenty of fresh and non perishable food meeting or exceeding regulations; Professional case worker familiar with R1 and the facility indicates R1 makes contradictory statements about R1's care and has observed the staff to make every effort to accommodate the needs of R1. Although the allegations may be true, or valid, based upon the statements; documents and site visits, there is not a preponderance of evidence to prove or, disprove, the allegations. Therefore, the allegations are UNSUBSTANTIATED. Report left.