Complaint Investigation Report

306004609-6-13-2022-22-AS-SSAS-CFLVHF-20220621162703

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

02/18/2022 and conducted by Evaluator Michelle Reed

COMPLAINT CONTROL NUMBER: 22-AS-20220218164544

Medical attention is not being sought for resident while in care.

Resident is being spoken to inappropriately by staff

Resident was being denied use of their phone

Resident's personal possessions are not safeguarded.

Resident's funds are not being provided to resident while in care

Staff are not using designated smoking area

Resident is being served food that they are allergic to

Licensing Program Analyst (LPA) Michelle Reed arrived at the facility to issue the complaint findings for the above allegations. Upon arrival, LPA met with.Lenette Belen. The investigation consisted of interviews with Staff, Client #1, Administrator, and witnesses as well as documentation from the facility. The following was determined: Client #1(C1) was admitted into the facility on May 2, 2014. C1 has a Conservator and is a Regional Center Client. According to C1’s Medical Assessment and Individual Program Plan (IPP) C1 is able to communicate and can occasionally become confused. She needs staff assistance with instructions and all her personal needs. Staff supervise C1 when she leaves the facility and provide assistance with C1’s Personal and Incidental money.

Based upon interviews and records reviewed, the allegations are unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report and appeal rights were provided to Administrator Lenette Belen.