Complaint Investigation Report

247209209-12-14-2023-24-AS-BCHN-CZZW56-20240131155836

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

12/04/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20231204154208

Staff refused to allow resident to return to facility after hospital stay

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to open a complaint on the allegations listed above. LPA met with facility staff Andrene Lowe and explained the purpose of today's visit. Licensee Jessica Johnson was not present at the facility during this visit, but did contact LPA Hurt via phone.

Regarding the allegation Staff refused to allow resident to return to facility after hospital stay. Licensee stated Resident 1 did not sign an Admission Agreement and no money was collected therefore was never a resident at this facility.LPA Hurt observed Resident 1 not to be present at the facility during visit on 12/08/2023. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficincies cited Per Title 22 Regulations. Exit interview conducted with Administrator Jessica Johnson vis phone, and a copy of this report provided.

Report signed by staff Present Andrene Lowe.