Complaint Investigation Report

547201120-1-16-2024-24-AS-SMOA-D23LU6-20240202080321

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

10/30/2023 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20231030120725

Facility did not ensure that resident's call light was operable.

Facility did not place resident's call light within resident's reach.

Facility did not administer medication as instructed by hospice.

Facility did not safeguard resident's medication.

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 observations the resident’s (R1) call light was operable. Based on observations R1’s bedroom had a call button next to his bed. Based on interviews with staff resident also wore a lanyard with a call button. Facility administrated medication as per doctors orders unless medication was refused by resident.

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.