Complaint Investigation Report

547206290-2-12-2025-24-AS-AWAN-DE7TWV-20250224140609

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

08/26/2024 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20240826093117

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegations.

Interviews and record review revealed that R1 was admitted to the hospital due to an “increase in weakness and tremors”. Consistent statements from facility staff revealed that staff did not “notice any bruising on R1’s body” prior to R1 being sent to the hospital. Medical records indicated that R1 sustained bruising to the body prior to being admitted to the hospital; however, the bruising could have been caused by R1’s “uncontrolled movements and tremors”.

The Department has investigated the complaint alleging: Resident sustained unexplained bruising. Based on the interviews conducted and/or records review the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.