Complaint Investigation Report

197610126-4-11-2022-31-AS-CHAS-CDGTUH-20220414150223

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

12/23/2021 and conducted by Evaluator Melissa Spaeth

COMPLAINT CONTROL NUMBER: 31-AS-20211223105731

Facility is not following the program design.

LPA Spaeth made an unannounced visit and was greeted by Administrator. LPA explained the purpose of the visit was to present LPA’s findings regarding the complaint which alleged facility is not following the program design regarding the consultant logs. LPA observed all staff members were wearing a mask.

Complainant had stated when reviewed the resident's files, Complainant did not see consultant logs confirming R1 had received the consultant hours from outsourced services. As of today, LPA received a copy of the logs and Administrator confirmed that R1's file did contain the required logs. In regard to providing both the Administrator and staff with copies of the program design to review, Administrator confirmed this task had been completed. Therefore this allegation is unsubstantiated.