Complaint Investigation Report

197610088-9-22-2022-31-AS-NGID-CNCTG4-20230123134227

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

06/01/2022 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20220601123928

Staff are not safeguarding a client's personal items

At 10:30 a.m. Licensing Program Analysts (LPAs) Angela Panushkina and Melissa Ruiz arrived at the facility to conduct an unannounced subsequent complaint visit. Upon arrival, LPAs were greeted by staff and later met with Licensee, Asilia Wauls. LPA explained the reason for the visit.

It was alleged that staff are not safeguarding a client's personal items. To investigate this allegation, interviews were conducted with the Licensee, Client #1 (C1). Interview with C1 revealed that when they moved to this facility in April 2022, they brought few clothes and a chair with them. Interview with the Licensee revealed that C1 did not bring/have any personal belongings during their admission to this facility. LPAs requested form LIC621 - (CLIENT/RESIDENT PERSONAL PROPERTY AND VALUABLES). Document review revealed that LIC621 was not signed and/or completed by C1 as of admission date. Based on interviews, document reviews and LPAs observation this allegation is Substantiated.

An exit interview conducted, appeal rights explained and a copy of this report provided to the Licensee.