Complaint Investigation Report

547201120-1-5-2026-24-AS-SMOA-DQQNEK-20260127092402

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

12/09/2025 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20251209104409

Staff did not meet a resident's incontinence need

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on allegations listed. LPA met with Administrator Esmeralda Corona, and explained the purpose of today's visit.

Regarding the allegation Staff did not meet a resident's incontinence need. LPA was not able to interview resident 1 as they are no longer a resident at this facility. LPA interviewed 3 facility staff who all stated Resident 1 would attempt to physically attack them if they attempted to assist with incontinent care. Staff stated they would not leave Resident 1 in a soiled brief but providing the assistance was challenging. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies Cited Per Title 22 Regulations.

Exit interview conducted with Administrator Esmeralda Corona, and copy of report provided