Complaint Investigation Report

247204141-10-4-2023-24-AS-BCHN-CWKW57-20231013165841

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

08/29/2023 and conducted by Evaluator Sarah Hurt

COMPLAINT CONTROL NUMBER: 24-AS-20230829114452

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit to the facility to deliver investigation findings. LPA’ met with Sandra Barros and explained the purpose of today’s visit.

Regarding the allegation staff unlawfully evicted a resident. Facility staff was aware Resident 1 needed 24 hour care. Resident 1 was taken to live with a roomate who was not able to provide the care needed. Based on interviews conducted,and records reviewed during this investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED at this time.

The following Deficiencies are being cited Per Title 22 Regulations.

Exit interview conducted with Facility staff Sandra Barros, and a copy of this report provided.