Complaint Investigation Report

079200382-3-30-2023-15-AS-YFLS-CWJST6-20231012140900

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

09/06/2022 and conducted by Evaluator Lizette Francisco

COMPLAINT CONTROL NUMBER: 15-AS-20220906133730

Facility does not have proper provisions for residents in the event of a power outage

On 3/30/2023 starting at 2:15 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to deliver findings for the above allegation. LPA met with Executive Director, Rachael Davis and explained the purpose of the visit.

During the course of the investigation, LPA obtained information, collected documents, interviewed staff and residents. It was alleged facility does not have proper provisions for residents in the event of a power outage. However, based on record review and interview, Emergency Disaster Plan was implemented during the power outtage. LPA discovered during an interview with 2 residents that the power outtage occured late at night and residents were provided back-up oxygen tanks.

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.