Complaint Investigation Report

198602253-10-20-2022-31-AS-RRAZ-CL234U-20221109165543

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

10/11/2022 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20221011110829

Staff do not address resident by chosen name

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegation. LPA met with Amada Lopez, Manger. The purpose of the visit was discussed.

It was reported that staff do not address resident by chosen name. To investigate this allegation, on 10/20/2022 between 1:45pm and 2:15pm, staff interviews were initiated. Interviews revealed that this is the second time that Resident #1 (R1) has changed their chosen name. Moreover, not all staff were aware that R1 had changed their chosen name again. On 10/19/2022, LPA spoke to R1. R1 indicated that a staff meeting was held, and that now all staff call them by the chosen name. Facility staff confirmed this information.

Based on interviews there is not sufficient information to support this allegation. Therefore, this allegation is deemed UNSUBSTANTIATED at this time.

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