Complaint Investigation Report
079200813-7-27-2022-15-AS-KHOS-CJW46W-20221004185015
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
02/16/2022 and conducted by Evaluator Lizette Francisco
COMPLAINT CONTROL NUMBER: 15-AS-20220216155120
Facility staff did not respond to resident's call for assistance.
On 7/27/2022 at 12:00 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to deliver findings for the above allegation. Upon arrival, LPA met with Care Staff, Celia Clet and LPA explained the purpose of the visit. Assistant Administrator, Gladys Enriquez later arrived at 12:48 PM.
During the course of the investigation, LPA obtained information, collected documents, interviewed residents and staff. Based on information obtained, facility staff did not respond to resident's call for assistance. However, S4 stated once she heard R1 yelling for help, S4 went to check on R1 followed by S5. LPA interviewed 3 residents and 3 of 3 stated staff responds to their call when they need assistance.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction