Complaint Investigation Report

019200464-11-30-2022-15-AS-KHOS-CLUN8X-20221206091503

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

09/13/2022 and conducted by Evaluator Kelly Nguyen

COMPLAINT CONTROL NUMBER: 15-AS-20220913155756

Staff are not allowing resident in care to receive services as prescribed by their physician.

On 11/30/2022 at 11:50AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the above allegation. Upon arrival, LPA met with Jessica Ching Administrator, and explained the purpose of the visit.

During the course of the investigation, LPA obtained information, interviewed staff and residents. Based on information obtained, Staff are allowing resident in care to receive services as prescribed by their physician.

Based on interview with residents, 3 of 3 residents states that the staff do allow them to received services that are prescribed by their physician.

Although the allegations may have happened or are valid, there are not preponderance of evidence to provide the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted, and a copy of this report provided.