Complaint Investigation Report

157203395-3-2-2022-24-AS-MHON-CCKU6C-20220316151803

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

02/14/2022 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20220214110527

Staff did not properly maintain resident records

Staff is not following admission agreement

Licensing Program Analyst (LPA) M. Medina conducted an unannounced complaint visit. LPA followed all COVID-19 pre-cautionary measures. LPA met with Administrator Reg Webster and explained the purpose of the visit.

LPA conducted interviews, reviewed files and requested documents from R1's file: Admissions Agreement, Physicians reports, medical records, monthly billing statements, and transportation records.

Based on the information gathered during the investigation, there is no evidence to show that staff did not maintain resident records or that staff is not following admission agreement. LPA was able to inspect resident file while on site and review admission agreement signed by R1. This complaint is UNFOUNDED.

An exit interview was conducted with Administrator Reg Webster, signed on site and a copy of this report will be provided via e-mail.