Complaint Investigation Report

197609628-10-3-2022-31-AS-RRAZ-CK55WS-20221011201938

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

02/09/2022 and conducted by Evaluator Melissa Spaeth

COMPLAINT CONTROL NUMBER: 31-AS-20220209100650

Staff did not provide proper care and supervision to client in care

LPA Spaeth completed an unannounced visit and was greeted by house manager, Jessica Cruz. LPA stated the purpose of the visit was to investigate complaint, staff did not provide proper care and supervision to client in care. LPA conducted a tour of the facility and did not observe any health or safety issues. LPA reviewed resident's file at 7:40 until 7:50 am.

At 7:50 am LPA observed resident documentation which states resident is able to leave the facility unassisted. Also LPA previously interviewed the resident and staff who both confirmed resident requested to go to the mall. Resident also stated the staff member did not force R1 to leave the facility. Based upon interviews and review of the resident documents, this complaint is unsubstantiated.

Exit interview conducted, appeal rights discussed, and a copy of the report was given to the House Manager.