Complaint Investigation Report

547201120-1-16-2024-24-AS-SMOA-CZUMAD-20240126082609

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

08/25/2023 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20230825144955

Resident sustained severe injuries due to staff neglect

Staff are not checking on residents in a timely manner

Staff did not call emergency services in a timely manner

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Administrator Esmeralda Coronado and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on interviews conducted and records reviewed the resident (R1) had a fall and was found by facility staff. Staff noticed residents breathing was shallow and contacted 911 and resident was taken to the hospital.

Based on observation and interview of staff and residents, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated.