Complaint Investigation Report

107206861-10-29-2021-24-AS-SPIY-CDHV2G-20220415160306

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

02/17/2021 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20210217141949

Facility did not provide records to representative.

Facility did not communicate to authorized representative on the changed of resident medical condition.

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegations. LPA met with Kristina Makaryan, Administrator and informed her the purpose of the investigation. The Department has investigated the complaint alleging: Facility did not provide records to representative, and Facility did not communicate to authorized representative on the changed of resident medical condition. Based on the interviews conducted and/or records review the above allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.