Complaint Investigation Report

019200521-7-21-2022-15-AS-KHOS-CKALYV-20221017091059

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

07/19/2022 and conducted by Evaluator Kelly Nguyen

COMPLAINT CONTROL NUMBER: 15-AS-20220719161226

Facility air conditioning unit is in disrepair.

On 7/21/2022 at 9:45AM Licensing Program Analyst (LPA) K. Nguyen, arrived unannounced to conduct investigation on the above allegations. LPA met with Assisted Living Administrator, Patrick Mcelroy, and explained the purpose of the visit.

It was alleged that facility air conditioning unit is in disrepair. During the course of investigation, LPA reviewed invoices, communication log, and visitation log to determine the timeline of facility responsiveness to the alligation. LPA tour the facility, sample four room in AL and MC. LPA interview two resident and attempted to interview two other residents, and interview 6 staffs. It was found that the facility air conditioning unit is in disrepair, however the facility being responsive to resident’s needs and their accomidation. The facility is in the process of getting the air condition repair.

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

Exit interview conducted and a copy of the report of given to the Administrator.