Complaint Investigation Report

079200290-1-31-2023-15-AS-HHUL-CQCSLR-20230328135845

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

01/26/2023 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20230126140801

1. Facility staff are not adequately trained.

2. Facility staff leave residents in soiled diapers for extended periods of time.

3. Facility staff are not ensuring that residents receive showers.

4. Facility staff are misusing resident's account to purchase items not for the resident.

On 01/31/2023 at 1:00PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct complaint investigation. LPA met with Administrator (ADM) Kamilla Distefano.

LPA inspected the facility, reviewed documentation, and conducted interviews of 1 resident and 4 staff members.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED.

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