Complaint Investigation Report

197609749-8-30-2022-31-AS-RRAZ-CKRRBV-20221101125318

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

08/25/2022 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20220825165522

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. LPA met with Zoey Gevorkian and explained the reason for the visit. The Administrator designated Zoey Gevorkian as the responsible staff member to sign and accept this report.

It was alleged that staff #1 (S1) stole resident #1’s (R1) money on 08/17/2022. To investigate this allegation, on 08/30/2022, LPA interviewed two (02) staff and four (04) out of five (05) residents from 11:30 AM - 1:00 PM. During interviews, R1 stated that S1 stole their money, S1 stated that they did not steal R1’s money and the remaining three (03) out of four (04) residents stated they have never experienced any form of theft. Furthermore, on 08/30/2022 at 1:30 PM, LPA interviewed a witness who stated that the money was found in R1’s purse and R1 gave it to the witness for safekeeping. Based on interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time.

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