Complaint Investigation Report

197609740-4-18-2024-31-AS-EMIR-D4PV6A-20240426160913

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

04/10/2024 and conducted by Evaluator Michael Cava

COMPLAINT CONTROL NUMBER: 31-AS-20240410144308

Licensee did not follow proper transfer/sale guidelines.

Licensing Program Analysts (LPAs) Ray Comer, Gary Tan and Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPAs met with the licensee/administrator, Thresiamma "Tracy" Mathew, and advised her of the complaint. According to the administrator, current license to this address is still valid. There was never a change in ownership. Licensee never abandoned the facility. Licensee did admit that she placed her other facility on Hiawatha (facility #197609741) on sale. Community Care Licensing (CCL) was notified of this on 10/30/23. The administrator stated currently there are five residents living in the home. Four (4) of the five residents are unaware of their surroundings due to their diagnosis. One (1) of the five residents confirms facility is never abandoned and is not notified or ever even aware of any change in ownership.

This agency has investigated the above allegations. We have found that the complaint was unfounded, meaning that the allegations are false, could not have happened, and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and copy of this report issued