Senior Care Records.

Complaint Investigation Report

Country View Assisted Living, W. Covina06/13/2023Licence 198603183

Census127
Date signed06/13/2023 03:36:32 PM
Name of licensing program analystJoe Katrdzhyan
Name of licensing program managerWei Siew Ho
The inspector’s account

198603183-6-13-2023-28-AS-TVAO-CWPL9C-20231017083314

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1000 CORPORATE CNTR DR. ST 500

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

09/27/2022 and conducted by Evaluator Joe Katrdzhyan

COMPLAINT CONTROL NUMBER: 28-AS-20220927150112

Staff are not transporting resident to appointments

Staff are not providing residents with mail in a timely manner

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met with Wellness Director / Claudia Cordoba and was later joined by the Administrator / Dennise Torres, who assisted with the visit. LPA explained the purpose of today’s visit is to discuss the above-mentioned allegations of Staff are not transporting resident to appointments and Staff are not providing residents with mail in a timely manner.

• The allegation of “Staff are not transporting resident to appointments” was previously investigated and addressed by LPA David Sicairos on 12/22/21, Control #28-AS-20211214161817 and on 8/27/21, Control #28-AS-20210820151018. The findings were delivered as Unsubstantiated, during both visits. Please refer to Control #28-AS-20211214161817 and #28-AS-20210820151018 for additional information.

• The allegation of “Staff are not providing residents with mail in a timely manner” was previously investigated and addressed by LPA Luis Mora on 10/12/21, Control #28-AS-20211004094822. The finding was delivered as Unsubstantiated. Please refer to Control #28-AS-20211004094822 for additional information.

An exit interview was conducted and a copy of this report was provided to the Administrator.

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