Complaint Investigation Report

197608401-12-27-2022-28-AS-RRAZ-CQTUNM-20230412154411

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

12/21/2022 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 28-AS-20221221141050

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Peter Babaian and explained the reason for the visit.

LPA conducted physical plant tour at 9:45 AM, requested facility documents at 10:10 AM and interviewed residents and staff between 10:30 AM to 1:10 PM. LPA's observation during physical plant tour between 9:45 to 10:10 AM revealed that the staff are wearing masks even the contractors working inside the facility and all Covid posters are posted all over the facility including the main entrance door. LPA also observed that the facility has 30 day supplies of PPE in their storage. LPA was screened during entrance. LPA also observed that there were hand sanitizers installed along the hallways of the facility and in the Cottage alone, there were three (3) working hand sanitizers installed. Further, all common bathrooms have liquid hand soap and a working hand dryer installed. LPA's interview with five (5) residents or 10% of the current census also revealed that they were provided all hygiene supplies by the facility regularly. Based on the information gathered during this visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted. Copy of this report issued.