Complaint Investigation Report

197609488-6-22-2022-31-AS-NGID-CGCUUG-20220715155331

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

06/15/2022 and conducted by Evaluator Melissa Ruiz

COMPLAINT CONTROL NUMBER: 31-AS-20220615142553

At 12:30 p.m., Licensing Program Analysts Melissa Ruiz and Joscelyn Martinez arrived at this facility to conduct an unannounced complaint investigation. Upon arrival, LPAs were greeted by staff and granted access to the home. LPAs later met with the Administrator, Marfiebeth Topacio explained the purpose of the visit.

Allegation: Staff yelled at resident in care.

To investigate this allegation, LPAs conducted interviews with two (2) staff, the Administrator and five (5) residents. During the interview conducted with staff (S1), admitted raising their voice and yell at residents in care. The Administrator, staff (S2) and one out of five residents (R1) stated they have witnessed S1 yell at residents in care. Based on interviews conducted, this allegation is substantiated at this time.

Deficiencies were issued per CA code of Regulations Title 22. See 9099D's included with this report. Appeal rights issued. Report signed and delivered. Exit interview conducted.