Complaint Investigation Report

075600335-8-18-2022-15-AS-YFLS-CSKSD9-20230607134645

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

08/11/2022 and conducted by Evaluator Lizette Francisco

COMPLAINT CONTROL NUMBER: 15-AS-20220811102402

Caroline Allen, Director of Social Services

Residents care plan increased without updated plan.

On 8/18/2022 starting at 10:40 AM, Licensing Program Analysts (LPAs) L. Francisco and K. Nguyen arrived unannounced to conduct a complaint investigation for the above allegations. LPAs met with Director of Social Services, Caroline Allen and explained the purpose of the visit.

During the complaint investigation, LPAs reviewed records and interviewed S1 and S2. It was alleged residents care plan increased without updated plan. Based on interview with S1 and record review, Resident's POA did not receive a copy of needs and services plan during a care conference on 8/5/2022. However, a copy of resident assessment point sheet with care level description was provided on 6/7/2022 via email. In addition, Quality and Compliance Nurse was present during the care conference to explain each of the care categories.

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 with Director of Social Services and a copy of report provided.