Complaint Investigation Report

197610123-12-12-2022-31-AS-NGID-CMCQRJ-20221222112401

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

12/01/2022 and conducted by Evaluator Patrick Shanahan

COMPLAINT CONTROL NUMBER: 31-AS-20221201164003

Facility staff physically abused residents.

Facility staff did not assist resident who was being threatened by another resident.

Facility staff did not ensure that timely medical care was provided for residents.

Facility staff did not ensure that residents were regularly observed for changes in functioning.

Resident not accorded dignity in relationships with facility staff.

Licensing Program Analyst (LPA) Patrick Shanahan, arrived at the facility in response to the above mentioned allegations. The LPA was greeted by the facility administrator and was able to review a list of the residents living at the home. After the LPA was able to review resident files and interview the facility administrator it became clear that the resident in question had never lived at this location.

Based on interviews conducted and a review of resident files, this allegation is deemed UNFOUNDED.

A finding of unfounded means that the allegation is either false, could not have happened, and/or is without a reasonable basis.

Exit Interview conducted and report issued.