Complaint Investigation Report

071440106-8-18-2022-15-AS-KHOS-CHMKUV-20220825081322

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

08/16/2022 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20220816084328

Facility staff filled out resident’s voting ballot without resident’s knowledge

On 08/18/22 at 1:30PM, Licensing Program Analyst (LPA) conducted an unannounced complaint visit, met with administrator, gathered information, interviewed clients (C2, C3 & C4) and staff (Administrator, S1). LPA explained the purpose of the visit and delivered the investigation findings.

Allegation: Facility staff filled out resident’s voting ballot without resident’s knowledge

Based on interviews and record reviews which were conducted, clients receive their voting ballots by mail at the facility. C2, C3 and C4 confirmed with LPA that staff do not interfere with their choices on the ballot and do not fill them out. Clients stated that they make their own choices and complete the ballots by themselves. Staff denied filling out the voter ballots for clients.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. No deficiencies cited. Exit Interview conducted and a copy of this report provided via email.