Senior Care Records.

Complaint Investigation Report

Aldersly, San Rafael03/09/2023Licence 216801686

Census82
Date signed03/16/2023 08:48:34 AM
The inspector’s account

216801686-3-16-2023-21-AS-CMAZ-CRGW3K-20230503165603

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

03/02/2023 and conducted by Evaluator Caitlynn Felias

COMPLAINT CONTROL NUMBER: 21-AS-20230302111949

Executive Director, Shannon Brown, and Charge Nurse, Melanie Fenn

Staff are not providing resident's files to resident's authorized representaive.

At approximately 9:40AM, Licensing Program Analyst (LPA) Felias arrived unannounced to initiate a complaint investigation regarding the above allegation and met with Executive Director/Administrator, Shannon Brown, and Charge Nurse, Melanie Fenn.

There is an allegation that Staff are not providing resident’s files to resident’s authorized representative. Based on records reviewed and interviews conducted, LPA observed that Resident 1 (R1) resided in the Independent Living area of the facility. Community Care Licensing (CCL) does not have jurisdiction to enforce regulations on that portion of the facility. LPA was unable to identify any deficiencies on the Assisted Living (AL) side of the facility where CCL does have jurisdiction. The allegation that staff are not providing resident’s files to resident’s authorized representative is UNFOUNDED. An allegation that is UNFOUNDED, means that the allegation was false, could not have happened and/or is without a reasonable basis.

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