Complaint Investigation Report

075601562-3-16-2022-15-AS-KHOS-CCRRRW-20220322131550

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

04/30/2020 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20200430144919

Item missing after return of resident personal belongings

On 03/16/22 at 12PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced subsequent complaint visit with administrator to deliver the finding of above allegation. LPA explained the purpose of the visit with administrator on the phone who authorized staff (S1) to act on her behalf and sign the report.

Allegation: Item missing after return of resident personal belongings

Per interviews (and record reviews), investigation determined that family did not contact the facility to make inquiry into the subject item (a ring). Facility staff stated that the ring was removed from R1 due to a swelling condition to his hands and fingers. Staff placed R1’s ring in a secured cabinet and overlooked it when R1s personal items were packed for return - which could not be disproven. During investigation, the item was retrieved by staff and returned to the family.

Based upon records review, interviews and observations, the department has investigated the above allegation and found that it is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of this report provided via email.