Complaint Investigation Report

191501668-10-21-2022-28-AS-MVAO-CKJSPX-20221025140351

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

GREATER LA AC/SC , 1000 CORPORATE CNTR DR. ST 500

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/03/2021 and conducted by Evaluator Bennette Pena

COMPLAINT CONTROL NUMBER: 28-AS-20210503103907

Staff member did not allow residents access to Ombudsman services.

**********This supersedes the report dated 09/07/2022. The report was superseded to correct initial visit date listed on the 1st page.**********

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint investigation and deliver findings for the allegation listed above. Upon arrival, LPA met with Executive Director, Marlene Rainen and explained the purpose of today’s visit.

During the initial visit conducted telephonically (due to Covid-19) on 5/06/2021, LPA Elizabeth Irra requested the Administrator (via email) to provide the following documents:

• Staff Roster (with contact phone numbers)

• Resident Roster (with contact phone numbers)

• Visitors Policy for March 2021 to current

• Visitors log/sign-in sheet(s) for March 2021 to current

• Staff schedule for March 2021 to current

During today’s visit, LPA Pena interviewed the following: Two (2) Staff, Staff #1 (S1), Staff #2 (S2), (1) Witness, Witness #1 (W1), the Executive Director/Administrator (A1) and obtained a copy of the Visitor's log for March 2021.