Complaint Investigation Report

496803998-12-13-2023-21-AS-BMOS-CYYRHT-20231229120249

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

12/06/2023 and conducted by Evaluator Christi Coppo

COMPLAINT CONTROL NUMBER: 21-AS-20231206151404

Staff did not respond to a resident's call button in a timely manner

Licensing Program Analyst (LPA) Christi Coppo and Licensing Program Manager (LPM) Victoria Bertozzi arrived unannounced to conduct a complaint investigation.

Staff did not respond to a resident's call button in a timely manner - Complaint alleges that resident fell and pushed thier call button for assistance but a caregiver did not respond in a timely manner. Per LPA review of call button log, there was at least one incident where there was a 94 minute delay following a resident fall. LPA and facility staff discussed areas of concern regarding the call button system and LPA will continue to work with facility to ensure resident safety.

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.