Complaint Investigation Report

019200879-3-3-2022-15-AS-KHOS-CCBL66-20220308072810

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

12/01/2021 and conducted by Evaluator Catherine Lin

COMPLAINT CONTROL NUMBER: 15-AS-20211201102127

Staff do not safeguard resident's personal items.

On 3/3/2022, Licensing Program Analyst (LPA) C. Lin conducted an unannounced subsequent complaint investigation visit of the allegation listed above. LPA met with Administrator and explained the purpose of the visit.

LPA interviewed R1 who denied jewelry was missing. R1 missed a wallet but didn't report it to facility. LPA interviewed other 6 residents and 1 visitor, none of them claimed that their belongs were missing.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted with Administrator and a copy of this report provided.