Complaint Investigation Report

197600716-5-23-2022-31-AS-NMAN-CGYQLA-20220804121536

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

05/03/2022 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20220503123845

Licensing Program Analyst (LPA) Abeye Duguma conducted a subsequent complaint visit to investigate the above allegations. LPA met with the Administrator, Carlos Jasso, and explained the reason for the visit.

It was alleged that facility refused to pick up the resident. To investigate this allegation, on 05/04/2022, LPA interviewed staff from 10:30 AM - 11:30 AM. During the interview, it was discovered that the hospital requested more than once that the resident be picked up, that the facility refused more than once to pick up the resident and that, although the resident was eventually picked up, the facility did not do it in a timely manner. Furthermore, an eviction notice was given on 05/06/2022 and the resident was taken to the hospital on 05/02/2022 and picked up 05/03/2022.

Based on the information revealed during interviews, the allegation is SUBSTANTIATED at this time.