Complaint Investigation Report

On 12/13/2022, LPA Pamela Bunker conducted the initial 10-day complaint investigation and conducted interviews from 2:00 p.m. to 3:30 p.m., along with reviewing and/or obtaining copies of the resident roster, staff roster, and insurance records. Facility staff stated that this facility had liability insurance with an effective date of 08/26/2022. Further investigation was required.

Based on the investigation conducted by the Department it was determined that between 08/26/2022 and 12/06/2022, Licensee had liability insurance that did not include required coverage for resident’s injuries. As a result, the above-mentioned allegation is being substantiated. Please see LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.