Senior Care Records.

Complaint Investigation Report

Shasta Residential Care, Fountain Valley04/10/2024Licence 306006280

Census5
Date signed04/10/2024 04:11:28 PM
The inspector’s account

306006280-4-10-2024-22-AS-AORZ-D4WMMK-20240503094402

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

04/04/2024 and conducted by Evaluator Rosie Quiroz

COMPLAINT CONTROL NUMBER: 22-AS-20240404121611

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose to conduct 10-day inspection visit regarding the allegation listed above. LPA Quiroz was greeted by Caregiver 1 (CG1) and met with Caregiver 2 (CG2) and discussed purpose of today's visit. LPA Quiroz attempted to call Administrator Kevin Dinh with no response or call back.

Regarding the allegation " Facility refused visitor unjustifiably," investigation revealed the following: Interviews conducted with three of four interviewees consisting of staff, resident and witness concluded visitor was not refused entry unjustifiably. Two of three interviewees consisting of staff stated, “Visitor was not refused entry, and they toured the facility on April 4, 2024 around lunch time 12pm.” Interview conducted with witness concluded facility entry was not refused on April 4, 2024.

Therefore based on the preponderance of evidence through interviews and observations conducted by LPA Quiroz, the allegation that the " Facility refused visitor unjustifiably" is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint.No deficiencies cited during today's visit. An exit interview was conducted with Caregivers on site, and a copy of report was provided at exit.

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