Senior Care Records.

Complaint Investigation Report

Golden Assisted Living, Sylmar11/10/2021Licence 197609621

Census106
Date signed11/10/2021 02:46:09 PM
The inspector’s account

197609621-11-10-2021-31-AS-RRAZ-CS4VL4-20230523163113

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

11/04/2021 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20211104100914

Staff did not safeguard resident's personal items

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced initial complaint visit to investigate the allegations above. LPA met with the administrator and explained the reason for this visit.

LPA conducted a physical plant walk through of the facility from 11:30-11:45am.

Staff did not safeguard resident's personal items

It is alleged that staff stole resident #1 (R1) refrigerator and when R1 got it back it was broken. LPA conducted an interview with R1 and the administrator. LPA went to R1's room and observed R1's refrigerator to be working fine. Administrator stated that no one has ever taken R1's refrigerator or had it sold to anyone else. R1 stated that the refrigerator is working fine. Based on the information obtained through interviews and observation this allegation is deemed Unsubstantiated at this time.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction