Complaint Investigation Report

547208809-3-27-2023-24-AS-SMOA-CRQMHH-20230511093731

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

02/02/2023 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20230202110713

Residient sustained multiple injuries due to staff neglect

Staff does not ensure that residents are adequately fed

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced for a subsequent inspection. LPA discussed the purpose of the visit and the elements of the allegations with administrator.

The Department investigated the allegations listed above. Based on interviews conducted and documents reviewed no evidence was found to support staff neglect led to resident sustaining injuries. LPA toured the facility kitchen and found sufficient food and observed mealtime and found sufficient food for a single meal time being served to residents.

Based on the interviews conducted, the allegations listed above 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