Complaint Investigation Report

198603162-3-14-2023-28-AS-RORN-CQCUF7-20230328153217

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

03/13/2023 and conducted by Evaluator Jose Villalobos

COMPLAINT CONTROL NUMBER: 28-AS-20230313084233

Staff participated in resident council meeting without resident council approval

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced initial complaint investigation for the allegation listed above. LPA met with Operations Manager Michael Forsgren and the purpose of the visit was discussed.

On today's visit , LPA interviewed Staff #1-5 (S1-S5) and Residents #1-#6 (R1-R6) and collected documents related to the facilities resident council meeting. The investigation concluded the following: In regards to the allegation "Staff participated in resident council meeting without resident council approval " it was alleged that S1 participated in the facilities resident council meeting without approval. (5) of (5) staff interviewed denied the allegation. (6) of (6) Residents interviewed could not corroborate the allegation. Interviews show that R1 is the president of the resident council and R1 invited S1 to attend the meeting on 3/9/23. Interviews with R1 confirms this information that S1 was invited to attend the meeting as a guest prior to it starting. S1 also confirmed the same. Based on interviews and files reviewed; although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview held and a copy of the report was provided