Complaint Investigation Report

015601336-5-22-2024-15-AS-HHUL-D6TLXQ-20240703090907

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

01/30/2024 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20240130092450

Licensee did not notify in writing to residents personal representatives regarding facility closure

On 5/22/2024 at 2:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver complaint findings for the allegation above. LPA knock on the door multiple times without a response. LPA spoke with Administrator, Elizabeth Nagy who arrived 20 minutes later.

During the investigation, LPA interviewed 2 staff, 2 witnesses, and complainant. LPA reviewed and obtained documents including correspondence with family members. Interview with complainant and witnesses revealed that residents and/or family members were notified verbally that facility is either closing or needing remodeling. Interview with staff indicated that facility is not closing and licensee plan to renovate the facility.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.