167200404-6-29-2022-24-AS-SMOA-CG9KTA-20220712081046

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 167200404
Report Date: 06/29/2022
Date Signed: 06/29/2022 12:37:08 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
03/22/2022 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20220322143247

FACILITY NAME:	DIAMOND TERRACES		FACILITY NUMBER:	167200404
ADMINISTRATOR:	NORMAN, ROBERT		FACILITY TYPE:	740
ADDRESS:	600 E. 11TH STREET		TELEPHONE:	(559) 585-8010
CITY:	HANFORD	STATE: CA	ZIP CODE:	93230
CAPACITY:	38	CENSUS: 23	DATE:	06/29/2022
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Administrator Robert Norman		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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9

Resident sustained injuries while in care.
Resident suffered multiple falls while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced to conduct follow up inspection.

LPA discussed the purpose of the visit and the elements of the allegations with administrator. LPA Interviewed Staff and resident. LPA Reviewed records and toured the facility.

Based on interviews conducted resident (R1) easily obtained bruising due to the medication she was prescribed. LPA did not discover any specific incidents related to the allegations.

This agency has investigated the complaint alleging Resident sustained injuries while in care and Resident suffered multiple falls while in care. We have found that the complaint was Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit Interview conducted. Report signed on site by administrator; printed copy provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: See Moua	TELEPHONE: (559) 580-4596
LICENSING EVALUATOR NAME: Kamaldeep Kaur	TELEPHONE: (559) 341-7449
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022

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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