Complaint Investigation Report

157209377-3-13-2024-24-AS-SMOA-D3XKMF-20240402080124

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

02/08/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20240208091113

Facility did not safeguard residents cash

Facility did not provide assistance with residents medical care needs

On 03/08/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA stated the purpose of the visit and met with Administrator Kala Gibson.

During the course of the investigation, LPA toured the facility, reviewed records, and conducted interviews. R1 and Administrator confirms R1 does not have cash store at the facility. Based on iinterview which were conducted, staff provides first aid and assists upon request by resident. Therefore, the preponderance of evidence standard has not been met, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this report confirms receipt of this report.