Senior Care Records.

Complaint Investigation Report

Evergreen Residential Care, Livermore09/23/2022Licence 019200459

Census3
Date signed09/23/2022 03:21:04 PM
The inspector’s account

019200459-9-23-2022-15-AS-KHOS-CKAQYH-20221017123511

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

08/23/2022 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20220823163634

On 9/23/2022 at 2:40PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver findings in regards to the allegation above. LPA met with staff, Maria Arrieta.

Administrator, Ada Osuka arrived 15 minutes later.

During the course of investigation, LPA interviewed 3 clients and 3 staff. Interview with clients revealed that no staff yelled at clients. Interview with staff indicated that staff does not yell at clients and would redirect when clients have behaviors.

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