Complaint Investigation Report

197605591-8-25-2022-28-AS-SGRE-CYFV7R-20231212151128

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

05/02/2022 and conducted by Evaluator Christina Hadley

COMPLAINT CONTROL NUMBER: 28-AS-20220502074202

Allegation #3 - Facility did not inform resident's representative about ongoing evaluations.

Facility informed resident’s representative about ongoing evaluations and included representative and others as desired by representative. Documents capturing multiple conversations and verification of assessment reviewed. Facility informed resident and resident’s representative about ongoing evaluations and process for determining care transitions in the resident’s residency agreement.

The Department was unable to obtain evidence to support this allegation. A complaint allegation finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.