Complaint Investigation Report

015600255-10-3-2024-15-AS-YFLS-DA4S7U-20241016133803

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

09/26/2024 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20240926094138

Staff confiscating resident’s personal belongings.

Staff did not allow resident to finish mealtime.

On 10/03/2024 at 10:30 AM, Licensing Program Analyst (LPA) Greg Clark and Ardalan Gharachorloo arrived unannounced to conduct an initial 10-day complaint investigation in regard to the allegations above. LPA met with Adminsitrator Josephine Davis and explained the purpose of the visit.

LPAs interviewed S1 who stated R1 lives in the Mercy Retirement & Care Center’s Skilled Nursing Facility(SNF). He does not live in the building licensed by CCL. LPAs reviewed resident rosters of both facilities and found R1 on the roster for the SNF.LPAs visited SNF and spoke with R1 who confirmed his residency and date of birth.

This agency has investigated this complaint. 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.