Complaint Investigation Report

157209068-12-20-2022-24-AS-MHON-CN32A2-20230113161250

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

12/13/2022 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20221213160510

Carolyn Storruste, Residential Care Coordinator

Facility staff unlawfully evicted resident

On 12/20/22, Licensing Program Manager (LPM) M. Hoffmann and Licensing Program Analyst (LPA) M. Medina arrived to conduct an initial 10-day complaint visit.

LPA Medina conducted interviews and reviewed resident (R1) records during complaint investigation. During investigation interviews, it was found that R1 had been transferred to the hospital for an emergency and upon release facility was requesting a re-assessment prior to returning to facility to ensure that R1 needs could be met by facility staff. R1 was re-assessed by primary physician and released to return to facility on 12/15/22 and placed on Hospice services that same day.

This Department investigated the complaint alleging facility staff unlawfully evicted resident. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

No deficiencies cited during complaint investigation.

An exit interview was conducted. A copy of this report will be provided to facility for facility records via e-mail due to issues with printer.