Complaint Investigation Report
577005341-9-29-2022-21-AS-KMOA-CK6SHY-20221013135418
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/02/2022 and conducted by Evaluator Jill Nakagawa
COMPLAINT CONTROL NUMBER: 21-AS-20220902085213
Facility did not notice change of resident condition.
On 9/29/2022 Licensing Program Analyst (LPA) Nakagawa arrived at Carlton Plaza unannounced to deliver findings to the facility regarding the above allegation and was greeted by Administrator, Miriam Faris. During the investigation, the Department toured the facility, reviewed records, and conducted interviews with staff, clients and outside parties.
The complaint alleges that the facility did not notice a change in condition of resident (R1). Based on the LPA’s interviews with staff, residents, outside parties and a review of care notes, the 602, pre-assessment, medical records, and resident documents (Care Tracker) which show dates and times of resident (R1) being fed, toileted, receiving grooming assistance and attempts at medication administration; whether completed or refused. Records also indicate multiple calls to PCP, family, and EMS.
Based on this information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
No deficiencies cited at today’s inspection. No citations issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction