Complaint Investigation Report

079201030-8-15-2022-15-AS-KHOS-CHMMES-20220825093314

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

05/19/2022 and conducted by Evaluator Carol Fowler

COMPLAINT CONTROL NUMBER: 15-AS-20220519102658

Facility failed to assist client in obtaining appropriate dental care

On 07/06/2022 at 3:30 pm, Licensing Program Analyst (LPA), C. Fowler arrived unannounced conduct a complaint investigation and to deliver complaint findings for the allegation above. LPA met with Niare Feaster Area Manager and Betty Dominici and explained the reason for the visit.

During the course of the investigation, LPA conducted interviews with C1, S1, S2 and S3, obtained and reviewed resident’s records. Based on interviews and record review the facility provided appropriate dental care appointments for C1. C1 failed to wait at the emergency room or scheduled dental appointments.

Based upon the information obtained during investigation. The above allegation are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of report was given.