Complaint Investigation Report

097003692-8-25-2022-25-AS-KHOS-CHSLSF-20220830090039

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

This is an official report of an unannounced visit/investigation of a complaint received in our office on

04/27/2022 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 25-AS-20220427102210

Food is not of appropriate quantity to meet resident's needs.

On 8/15/2022 LPA Tryon arrived at the facility at 3:00 p.m. to work on the complaint. LPA had done a self-screening for COVID symptoms prior to the visit, used hand sanitizer, and temperature was taken upon arrival. LPA wore a sugical mask.

LPA interviewed staff. Staff contacted Licensee Shirley Dizon who arrived a few minutes later. At this time, LPA has interviewed staff and available residents. LPA learned that the resident involved moved to a nother facility, and has passed away, so LPA was not able to speak with that resident. In speaking with available resident, no issues were noted, resident received showers timely and regularly, food was good and plentifful. LPA noted good supplies of food in the home. LPA also reviewed records of resident showers. At this time, there is no evidence to show that the staff does not shower residents; and there is no evidence to prove that residents do not receive adequate food. Allegations are UNFOUNDED. A finding of unfounded means that the allegation is false, could not have happened, and/or is wihtout a reasonable basis.

No deficiencies were cited at this visit. Exit interview conducted.