Complaint Investigation Report

300613274-1-17-2023-22-AS-LADS-CN9V8E-20230120151239

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE & INLAND A/SC , 770 THE CITY DR., SUITE 7100

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

10/27/2022 and conducted by Evaluator Jenifer Tirre

COMPLAINT CONTROL NUMBER: 22-AS-20221027143753

Facility does not follow resident's proper diet

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to follow up on complaint investigation. LPA discussed purpose of the visit and allegations with Assisted Living Director Jessica Todd.

The department investigated this complaint and investigation consisted of interviews and documentation. Investigation revealed that Resident (R1) was a resident in facility's Skilled Nursing Facility not Assisted Living.

Resident was present in Park Vista's Skilled Nursing from 10/18/22 to 10/29/22.

Park Vista's Skilled Nursing is an entity of California Department of Public Health. This agency has investigated the complaint alleging facility does not follow resident's proper diet. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without reasonable basis.

An exit interview was conducted with Assistant Living Director and a copy of report was provided to facility.