Complaint Investigation Report

079200543-9-29-2022-15-AS-KHOS-CKBJ6P-20221018064641

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

07/14/2022 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20220714121257

Facility staff do not serve nutritious meals

Facility does not have adequate meal amount of food for the residents in care

On 09/29/2022 at 10:35 AM, Licensing Program Analysts (LPA), J. Clancy-Czuleger arrived unannounced to deliver complaint findings for the above allegations. LPA met with Olivia Siu, Administrator and explained the reason for the visit.

During the course of investigation, based on initial visit, LPA observed sufficient amount of food for clients in care. The staff provided a grocery list and meal menu for the month. LPA observed instructions for staff regarding the refrigerator and their personal use. Based on interviews with staff stated that the facility has the care staff cooks the meals for all the residents.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.