Complaint Investigation Report

197610032-10-24-2022-31-AS-MVAO-CWPSGS-20231017135220

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

09/09/2021 and conducted by Evaluator Melissa Spaeth

COMPLAINT CONTROL NUMBER: 31-AS-20210909151146

LEISURE GARDEN SENIOR ASSISTED LIVING FACILITY

Staff not providing a safe environment for resident.

LPA Spaeth conducted an unannounced visit and was greeted by Administrator. LPA stated the purpose of the visit was to investigate allegations, staff not providing a safe environment for resident, and facility withholding PNI funds. LPA conducted a tour of the facility from 10:30 am until 10:50 am and did not observe any health or safety issues.

LPA interviewed three staff members, the Administrator, and the Administrator Designee on 12/22/2021. Caregivers, Administrator and Administrator Designee stated always remind residents to keep room doors locked. A caregiver observed R1 would not lock door to room but Caregiver would continue to remind R1. R1 stated to Caregiver did not want to lock the door. Therefore, the allegation is unsubstantiated.The allegation facility witholding PNI funds is unsubstantiated. During LPA's unannounced visit on 9/10/2021 LPA witnessed Administrator Designee gave R1's PNI money. LPA asked R1 if receipt of PNI money was current and R1 stated yes.

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