157209146-9-22-2022-24-AS-SPIY-CL7MBL-20221115082808

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157209146
Report Date: 09/22/2022
Date Signed: 09/22/2022 12:29:37 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
10/05/2021 and conducted by Evaluator Les Xiong

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20211005132259

FACILITY NAME:	QUALITY CARE ASSISTED LIVING		FACILITY NUMBER:	157209146
ADMINISTRATOR:	ESPINAL, ALMA		FACILITY TYPE:	740
ADDRESS:	2607 MT. VERNON AVENUE		TELEPHONE:	(661) 871-8133
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93306
CAPACITY:	54	CENSUS:	DATE:	09/22/2022
		UNANNOUNCED	TIME BEGAN:	11:23 AM
MET WITH:	Ria Loria		TIME COMPLETED:	12:54 PM

ALLEGATION(S):

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Staff are not administering medication(s) to resident according to physicians instructions.
Resident is not being provided bedding while in care.
Staff restrained resident in a closet while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. I met with Administrator, Ria Loria and informed her the purpose of the visit.

During the course of this investigation LPA reviewed facility files and interviewed persons relevant to the complaint investigation. It was determined that the above allegations: Staff are not administering medication(s) to resident according to physicians instructions, Resident is not being provided bedding while in care, and Staff restrained resident in a closet while in care are UNFOUNDED. Resident R1 was a new resident to the facility and due to her declining health and instability, resulting her making false statements/accusations. This agency has investigated the complaint alleging (Staff are not administering medication(s) to resident according to physicians instructions, Resident is not being provided bedding while in care, and Staff restrained resident in a closet while in care). We have found that the complaint was unfounded, therefore we have dismissed the complaint.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Sergiy Pidgirny	TELEPHONE: (559) 246-0610
LICENSING EVALUATOR NAME: Les Xiong	TELEPHONE: (559) 410-1772
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

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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