Complaint Investigation Report

198603137-12-15-2021-28-AS-WSHO-C9WT9A-20211221133137

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

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

12/14/2021 and conducted by Evaluator Tony Vasallo

COMPLAINT CONTROL NUMBER: 28-AS-20211214102957

Licensing Program Analyst (LPA) Vasallo conducted a complaint visit to investigate the allegation listed above. LPA met with administrator, Darlene Romero and explained the reason for the visit.

The investigation consisted of the following: Administrator was interviewed and indicated Resident #1 (R1) was never a resident of this facility. Administrator said it's possible R1 is a resident of the sister facility across the street. Administrator provided copies of the resident roster for August, September, and October 2021. R1's name was not listed on the rosters. This facility's sister facility (Burbank Retirement Villa East) was contacted during the visit. The Administrator there confirmed R1 was a previous resident of that facility. Based on the information obtained, the allegation is unfounded.

This agency has investigated the complaint alleging staff stole resident's money. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without reasonable basis. We have therefore dismissed the complaint.

Exit interview held with Administrator. A copy of the report was provided.