Complaint Investigation Report

197610116-6-20-2022-31-AS-NMAN-CGYPZE-20220804114525

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

05/11/2022 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20220511160357

Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA was screened for COVID 19 and met with Andre Fouda.

It was reported that Resident #1 (R1) is being isolated from family by the caregiver. On 05/13/2022, LPA interviewed one staff from 2:00 - 3:00 PM and on 06/20/2022, LPA interviewed the Responsible Party from 10:20 - 10:45 AM. Interviews revealed that staff did not isolate R1 or keep R1 from visiting with family. R1's Responsible Party stated, "We are in good communication with the Administrator there at Goleta Woodman Home and we have never felt that they were trying to keep us from speaking with or seeing each other."

Based on interviews, there is no relevant information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.