Complaint Investigation Report

496800549-2-13-2024-21-AS-BMOS-D32PAM-20240304100858

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

11/13/2023 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20231113165043

Licensing Program Analyst (LPA) Alviso delivered findings of the Departments complaint investigation, on 2/13/24 at approximately 9:00am, and met with Administrator Emma Mutunga.

The reporting party (RP) alleges that staff (S1) caused injury to resident’s (R1) elbow. R1 was observed to have bruising and swelling to elbow. RP believes the injury may have occurred when staff assisted R1 in routine arm exercises. RP alleged C1s elbow may be fractured. The Department reviewed records and conducted interviews regarding the allegation of “staff caused injury to resident.” The investigation revealed R1 has range of motion limitations and a complex medical history. Interview conducted on 12/27/2023 with placement agency service coordinator provided no information revealing concern of R1s care residing at current placement. A medical professional was interviewed with knowledge of R1’s history and injury observed by RP. Interview on 1/3/2023 revealed the following information and diagnosis; R1 suffered a ruptured bicep tendon and not a fracture. Medical professional also informed, that the injury R1 sustained was not forceful and the rupture was spontaneous.

Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegation, “staff caused injury to resident” is UNFOUNDED. We have found that the complaint allegations were unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview was conducted with the Administrator Emma Mutunga.