Complaint Investigation Report

015601095-3-23-2023-15-AS-KHOS-CQRLM6-20230410085214

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

03/15/2023 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20230315145501

Facility did not assist resident with toileting

On 3/23/2023 at 9:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegation above. LPA met with administrator, Steve Battisti and informed him of the reason for the visit.

During the course of investigation, LPA interviewed staff, witness, and complainant. Resident roster revealed that 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 a private care taker for ADL (Activities of Daily Living) needs.

This agency has investigated the complaint allegation. 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 and a copy of this report provided.