Complaint Investigation Report

197610147-11-1-2022-31-AS-CHAS-CLLVGM-20221128152547

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

10/25/2022 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20221025113659

Staff refusing to allow resident to have visitor(s).

Staff not allowing resident to speak with family.

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

LPA conducted a physical plant walk through to ensure no immediate health and safety issues and none were noted.

Regarding the allegations above it is alleged that staff are not allowing resident #1 (R1) to have visitors or R1 is not allowed to speak with their family. LPA conducted interviews with residents from 11:30-11:45am. LPA also reviewed facility files from 11-11:30am. Information obtained from interviews and observation show that R1 is not a resident of this facility and has not resided in this facility for sometime. This facility was licensed as of 4/19/21 due to a change of ownership. The previous owner of this facility was familiar with R1 but it is believed that R1 left the facility when it was re-licensed on 4/19/21 under the current ownership. LPA has attempted to contact the previous owner before this facility was licensed but has not been able to reach them. Based on the information obtained both of these allegations are deemed Unsubstantiated at this time.