Complaint Investigation Report

547208809-10-26-2023-24-AS-SMOA-CY7MD2-20231204083021

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

06/19/2023 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20230619145953

Resident sustained severe injury due to staff neglect

Staff did not administer resident's medication

Staff did not assist resident with eating

Staff did not provide adequate food service to resident

Staff did not meet resident's laundry needs

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Administrator Amanda Kelsey 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 and record review no incidents were documented that resulted in resident abuse or injury. Medication audit was conducted but was inclusive due to resident relocation. Resident weight records were reviewed which indicated although resident weight was at an incline recently at the time of resident admission the resident had put on weight. Facility tour was conducted and did not reveal any facility physical plant issues.

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.