Complaint Investigation Report

565801931-8-14-2024-29-AS-DPEA-D8LTH5-20240829144409

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

WOODLAND HILLS N.ASC , 21731 VENTURA BLVD. #250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/14/2023 and conducted by Evaluator Teresa Camara

COMPLAINT CONTROL NUMBER: 29-AS-20230914170537

Resident sustained multiple falls while in care.

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit regarding the above noted allegation. LPA met with back-up administrator Vana Barberis and explained the reason for the visit.

On 9/18/2023, LPA Elsie Campos started this investigation by conducting interviews with administrator, residents and collecting documentation. On 8/14/2024, LPA Camara conducted a telephone interview with a witness, interviewed staff at 11:46 a.m., and collected more documentation at 11:54 a.m. Residet 1 (R1) fell in August 2023 while using a walker and being assisted by R1's spouse. It was suspected R1 may have had a cardiovascular event which caused the fall but that was never clearly determined by R1's physician. When R1 fell, staff were nearby but not close enough to catch R1. According to staff, prior to R1's fall, R1 was able to walk with standby assistance and a walker. At this time, R1's physical condition has deteriorated and R1 can no longer walk. Witness and Staff stated R1 fell only once at this facility. Based on the information gathered, the allegation R1 sustained multiple falls while in care is deemed Unsubstantiated at this time. Exit interview conducted and report issued.