Complaint Investigation Report

486804115-8-15-2023-21-AS-KMOA-CUTS7Y-20230818133818

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

07/18/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230718095742

Resident in care sustained unexplained bruises

Licensing Program Analyst (LPA) Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Caregiver DeVera and discussed the disposition. R1 has been observed with discoloration on finger tips of an unknown origin; Hospice Nurse evaluation conducted on 7/24/2023 determined the dark color to be "unknown cause;" R1 has not provided an explanation for the "bruises;" LPA found no evidence that the discoloration was due to staff abuse or neglect; During site visits conducted on 7/24 and 8/8 LPA observed 2 residents in common areas of the facility and 4 residents in their rooms; Interviewed residents indicated to LPA that they were in their rooms by choice and that they had access to the common areas if that was their choice. Although the allegations may be true, based on statements and documents reviewed, there is not a preponderance of evidence to prove the allegations are or, are not, true. Therefore, the allegations are UNSUBSTANTIATED.