Complaint Investigation Report

Avery Lane, Novato06/18/2024Licence 216804130

Census5
Date signed06/18/2024 10:02:07 AM
The inspector’s account

216804130-6-18-2024-21-AS-VBEI-D6SU2Z-20240702151246

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

05/13/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240513131231

Licensee does not ensure sufficient staff to meet resident's needs

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this Complaint. During the course of this investigation, statements were taken from clients, staff and witnesses; site visits were made to the facility; as well as documents obtained and reviewed. The following determinations are made: Several staff and the Complainant have expressed concern that the Program is understaffed and that a staffing shortage could effect the ability to meet the needs of the clients in care; No incidents were identified that would indicate a lack of staff resulted in Licensee unable to provide care and supervision necessary to meet Client needs as required by Title Twenty-Two 81078 and 81065.6. Although the allegation may be valid, based on statements and document reviews, there is not a preponderance of evidence to prove or, disprove, the allegation. Therefore, the allegation is UNSUBSTANTIATED.

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