157208915-1-7-2024-24-AS-MHON-CZEM9M-20240112082458

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157208915
Report Date: 01/03/2024
Date Signed: 01/07/2024 07:15:37 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2023 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20231003124747

FACILITY NAME:	PALMS AT SAN LAUREN, THE		FACILITY NUMBER:	157208915
ADMINISTRATOR:	RICE, DOUGLAS		FACILITY TYPE:	740
ADDRESS:	5300 HAGEMAN RD		TELEPHONE:	(661) 218-8333
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93308
CAPACITY:	68	CENSUS: 66	DATE:	01/03/2024
		UNANNOUNCED	TIME BEGAN:	11:06 AM
MET WITH:	Douglas Rice, Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Resident sustained multiple pressure injuries due to staff neglect
Resident sustained injury due to staff handling resident in a rough manner
Staff did not seek medical attention for resident
Staff did not allow hospice to come and provide care for resident
Staff are not providing adequate food service for resident
Staff left resident in soiled diapers for an extended period of time
Staff are not responding to resident's call button
Staff did not ensure resident had access to call button

INVESTIGATION FINDINGS:

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On 01/03/2024, Licensing Program Analyst, (LPA) L. Salazar arrived to the facility unannounced to deliver findings on the above allegations. LPA was greeted by Administrator, stated the purpose of the visit and was allowed entry into the facility.

During the investigation, LPA toured Resident R1's room and observed them sleeping in their bed, with call button and phone in hand. LPA reviewed facility staff response time in the call log records to be adequate and timely. LPA conducted interviews with family, facility staff and Hospice nurse. LPA reviewed R1's facility file, facility communication logs and Hospice care notes. R1 has been on Hospice care since 2022, and has had a continued decline in their health. Hospice records show R1 sleeps 18+ hours a day, has a decreasing appetite and eats 25 – 50% of meals per day, often refusing to eat. Documentation shows on multiple occasions, that R1 did not want to be touched and did not want the caregivers to change their briefs. LPA observed the facility to be in compliance with their assigned duties and responsibilities per the agreed Hospice care plan.

Based on the information received, the complaint allegations are Unfounded, meaning that the allegations are false, or are without reasonable basis, therefore, we have dismissed the complaint. Exit interview conducted with Administrator and a copy of this report was provided at the time of visit. No deficiencies cited.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Lisa Salazar	TELEPHONE: (559) 691-0004
LICENSING EVALUATOR SIGNATURE:	DATE: 01/03/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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