Complaint Investigation Report

197610088-9-22-2022-31-AS-RRAZ-CKPRU2-20221030131914

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

09/01/2022 and conducted by Evaluator Melissa Ruiz

COMPLAINT CONTROL NUMBER: 31-AS-20220901092040

Staff is refusing to transport resident to the Social Security Office.

On 9/22/2022 at 10:30 a.m. Licensing Program Analyst Melissa Ruiz and Angela Panushkina (LPA) arrived at the facility to conduct an unannounced subsequent complaint visit. Upon arrival, LPAs were greeted by staff and LPAs later met with Licensee, Asilia Wauls. It was alleged that staff is refusing to transport resident to the Social Security office. On 9/8/2022, LPA conducted interviews with the Licensee, Administrator, two (2) staff, and one client (C1). Based on interviews, it was revealed that C1 verbally asked S2 to take C1 the social security office that same day, however C1 told S2 they did not want the Licensee or the Administrator to know this. The Administrator and Licensee confirmed that they had no knowledge of C1’s request to go to the social security office. During today’s visit, Licensee stated that on 9/12/2022, there was a planned outing and asked C1 if they wanted to go to the social security office, and C1 said “No, you’ll never take me.” Based on interviews conducted, this allegation is unsubstantiated at this time. No deficiencies issued at this time. Report signed and delivered.