Complaint Investigation Report

045001495-8-10-2022-25-AS-MSEY-CLUPKG-20221206102303

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

This is an official report of an unannounced visit/investigation of a complaint received in our office on

08/04/2022 and conducted by Evaluator Jaclyn Avila

COMPLAINT CONTROL NUMBER: 25-AS-20220804090916

The Department met with Amy Cook, Administrator unannounced regarding the allegation above. Licensing Program Analyst (LPA) Jaclyn Avila completed the required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID 19 infection to affirm no COVID-19 related symptoms. LPA Avila ensured that hand sanitizer was applied before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95.

This Department has investigated and found the above allegation. The Department reviewed the eviction notice issued to client on 8/1/2022, which did not provide specific facts and dates. Licensee could not produce documentation that the client was responsible for paying for basic services. The admission agreement signed by the client on 4/24/2015 states the regional center is responsible for paying for basic services.

Based on LPAs observations, document review and interviews the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22), are being cited on the attached LIC 9099D. Appeal Rights were explained and provided to the facility representative listed above and an Exit Interview was conducted. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed.