Complaint Investigation Report

496801890-4-26-2024-21-AS-VBEI-D4WSRC-20240503140606

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/26/2024 and conducted by Evaluator Helena Rummonds

COMPLAINT CONTROL NUMBER: 21-AS-20240126115507

Resident sustained unexplained injury while in care

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 1:35PM to deliver findings regarding the above allegation. LPA was greeted by staff. Licensee, Teddy Rico arrived shortly after. LPA and Licensee and discussed the purpose of the visit.

Complaint alleges that a resident sustained an unexplained injury in care. Throughout the course of the investigation, LPA reviewed documents, made observations, and conducted interviews. Per Resident 1s (R1s) physicians report, R1 has a history harming themselves from their fingernails. Interviews conducted with R1s family revealed that R1 has a history of biting their nails, biting their fingers, and scratching themselves. Family confirmed that R1 bruises easily. Family confirmed that R1 exhibited these same behaviors at previous care homes.

Based on interviews conducted, documents reviewed and observations made, and while the allegation may be valid, there is not a preponderance of evidence to prove the alleged violations did, or did not, occur. Therefore, the allegation is UNSUBSTANTIATED.