Senior Care Records.

Complaint Investigation Report

Elwyn California - Terra Verde, Oakley03/17/2023Licence 079200634

Census4
Date signed03/17/2023 02:58:01 PM
The inspector’s account

079200634-3-17-2023-15-AS-HHUL-CS4V4P-20230523160640

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

03/07/2023 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20230307081501

On 3/17/2023 at 8:55AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPA met with Lead Staff, Abiodun Fagorala and informed him the reason for the visit.

During the course of investigation, LPA interviewed 4 clients, 10 staff, and 2 witnesses. LPA obtained and reviewed documents including clients' IPP (Individual Program Plan) and emergency contact information. Interview with clients and staff revealed that a staff's dog has been at the facility. However, staff did not witness an incident where a client was bitten by the dog.

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. Exit interview conducted. A copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction