Complaint Investigation Report

197608474-10-19-2021-31-AS-EMIR-CJ3VDY-20220908162130

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

09/17/2021 and conducted by Evaluator Angelica Arambulo

COMPLAINT CONTROL NUMBER: 31-AS-20210917161143

Facility staff engaged in a physical altercation in the facility

Licensing Program Analyst (LPA) Angelica Arambulo conducted an unannounced subsequent complaint investigation. The LPA met with administrator to deliver the findings.

It was alleged that Facility staff engaged in a physical altercation in the facility. LPA conducted interviews with staff, administrator and residents. The physical altercation was between two staff regarding missing cream supply. The residents were having their lunch meal and could hear what was happening. Both staff are no longer working at the facility and alternate staff are scheduled. Based on the information gathered the allegation is Substantiated.

Citation issued, appeal rights given, exit interview conducted. The report shall be emailed to administrator.