Complaint Investigation Report

015600255-5-22-2025-15-AS-YFLS-DHBMHB-20250604093713

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

04/10/2024 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20240410105909

On 05/22/2025 at At, Licensing Program Analysts (LPAs) Greg Clark and Ardalan Gharachorloo arrived unannounced to deliver findings in regard to the allegations above. LPA met with Kathleen McCarron, Administrator and explained the purpose of the visit.

During the course of the investigation the department interviewed the W1, facility staff, facility residents, hospice staff and W2. The department also reviewed R1’s medical records. Review of R1's medical records and death certificate revealed that R1’s cause of death was metastatic prostate cancer. R1 was diagnosed with prostate cancer in 2008.

The department has investigated the complaint alleging questionable death. 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, a copy of this report provided.