Complaint Investigation Report

015601095-9-8-2022-15-AS-KHOS-CM5QCP-20221215110329

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

08/30/2022 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20220830134226

Facility did not assist resident after sustaining a fall.

Staff is unable to meet the resident's needs.

On 9/8/2022 at 9:10AM, Licensing Program Analysts (LPAs) G. Luk and J. Sampair arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegations above. LPAs met with administrator, Steve Battisti, and informed him of the reason for the visit.

During the course of investigation, LPAs interviewed staff, witness, and complainant. After reviewing the resident roster, LPAs observed R1 was a resident from the independent living side of the facility. Interview with staff and witness revealed that R1 lives in the independent side of the facility. W1 stated that R1 has family members that would visit regularly and provide care as needed. R1 is independent and does not need ADL care.

This agency has investigated the complaint allegations. We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report provided.