Senior Care Records.

Complaint Investigation Report

Dago Residential Facility #2 Elderly, Visalia11/08/2021Licence 547209088

Census6
Date signed11/08/2021 03:29:15 PM
The inspector’s account

547209088-11-8-2021-24-AS-MHON-C8SSHB-20211115125313

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

11/03/2021 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20211103141905

A staff person is sleeping in a bed that the resident purchased.

Licensing Program Analyst (LPA) M. Yang conducted an initial complaint investigation and met with Administrtor. LPA stated the purpose of the visit and reviewed the allegations.

During the course of the investigation, the Department conducted interviews and toured the facility. LPA interviewed staffs, clients, and spoke to regional center. It was confirmed that facility staff and C1 switched rooms and S1 slept on C1’s bed without informing Regional Center of the changes. S1 exhibit behaviors after the changed.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Exit interview conducted. As a COVID-19 precautionary measure, a copy of this report and appeal rights will be provided via email. Report signed on-site.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction