Complaint Investigation Report

496803241-11-30-2023-21-AS-BMOS-CYBRLX-20231208120753

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

10/30/2023 and conducted by Evaluator Victoria Bertozzi

COMPLAINT CONTROL NUMBER: 21-AS-20231030165241

Facility failed to respond to resident's pendant/call button/phone calls

Licensing Program Analyst Bertozzi arrived unannounced to deliver findings regarding the above complaint allegation and met with Robert Alvarado.

Facility failed to respond to resident's pendant/call button/phone calls - Complaint alleges that a resident pushed their pendant but staff did not respond. LPA confirmed through document review that there have been multiple occasions where residents' pendants were not responded to.

A Civil Penalty in the amount of $250 is being assessed for repeaiting regulation 87411(a) more than once in a 12 month period.

Based on record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.