Senior Care Records.

Complaint Investigation Report

G.l.o.m. ARF, Livermore02/17/2023Licence 019200678

Census6
Date signed02/17/2023 01:26:02 PM
The inspector’s account

019200678-2-17-2023-15-AS-HHUL-CS4V3Q-20230523160506

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

03/21/2022 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20220321103220

Excluded individual is present at the facility

On 2/17/2023 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Program Director, Jessica Turner.

During the course of investigation, LPA interviewed 6 clients and 4 staff. LPA reviewed audit report. Interview with clients indicated that an excluded individual (S5) was at the facility. However, clients were not able to provide specific information on when S5 was at the facility. LPA have not seen S5 at the facility during past visits in 2022. Interview with staff and clients revealed there's no issues with the utilities being on and staff are paid timely.

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

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