Senior Care Records.

Complaint Investigation Report

Good Shepherd of Dublin, the, Dublin11/18/2022Licence 019200847

Census6
Date signed11/18/2022 02:10:52 PM
The inspector’s account

019200847-11-18-2022-15-AS-HHUL-CLDVBW-20221121151809

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

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

03/09/2022 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20220309090421

On 11/18/2022 at 12:20PM, Licensing Program Analysts (LPAs) G. Luk and K. Nguyen arrived unannounced to deliver findings in regards to the allegation above. LPAs met with caregiver, Lester Calma.

During the course of investigation, LPA G. Luk interviewed resident, staff, and complainant. LPA reviewed and obtained documents including audit report.

Interview with resident revealed that staff are providing care and supervision to residents. Interview with staff indicated there were no issues with utility bills and staff are receiving their paychecks.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted. A copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction