Complaint Investigation Report
075601547-10-29-2024-15-AS-KHOS-DAQREK-20241105115740
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/21/2024 and conducted by Evaluator James Sampair
COMPLAINT CONTROL NUMBER: 15-AS-20241021101209
Facility staff refused to accept resident back into care from hospital.
On 10/29/2024 at 9:00 AM, Licensing Program Analysts (LPAs) James Sampair and David Doidge conducted an unannounced complaint visit. Upon arriving, the LPAs explained the purpose of the visit to Administrator (ADM) Shani Edwards.
The complaint alleges that facility staff refused to accept resident back into care from hospital. The LPAs interviewed the ADM and reviewed documentation for Resident R1. The data collected from those sources supported the actions of the staff not to accept R1 as resident in the facility.
Although the allegation may have happened, or is valid, there is not a preponderance of evidence to prove them; therefore, the allegation is UNSUBSTANTIATED.
Exit interview conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction