Complaint Investigation Report

198602253-8-26-2021-31-AS-NMAN-C76T9B-20210924143140

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

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

08/19/2021 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20210819124750

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint visit to the facility. LPA met with Amada Lopez, Supervisor. The purpose of the visit was discussed.

It was reported that facility is illegally evicting resident. On 08/26/2021 at 10:14am, LPA spoke to facility staff and they denied that they are trying to evict Resident #1 (R1). Interviews revealed that a medical doctor came to the facility on 08/16/2021 and told staff to send R1 to the hospital for wound treatment. Between 11:00am and 12pm records were reviewed. On 08/17/2021 R1 was sent to the hospital. On 08/21/2021, R1 left the hospital without being discharged and returned to the facility. R1 is currently residing at the facility. Facility will have a doctor reappraise R1 to determine if the facility is the appropriate setting.

Based on interview and record review the above noted allegation is UNSUBSTANTIATED at this moment.

Exit interview conducted and a copy of the report was issued.