Complaint Investigation Report

019200484-6-27-2024-15-AS-HHUL-D6TLYZ-20240703091110

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

06/21/2024 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20240621151929

Jacqueline Scott Garcia, Human Resources Assistant

Facility didn't provide resident's records as requested

On 6/27/2024 at 11:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegation above. LPA met with Executive Director, Harmony Venturelli and Human Resources Assistant, Jacqueline Scott Garcia.

During the course of investigation, LPA interviewed 2 staff and reviewed record request documents. Interview with staff revealed that record request was received on 6/20/2024 and facility have not sent out documents to requestor.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D.

Exit interview conducted with Jacqueline Scott Garcia. A copy of this report and appeal rights provided.