Complaint Investigation Report

306004192-3-23-2023-22-AS-AORZ-CQBPVS-20230327113938

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

03/17/2023 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20230317120537

WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE

Facility staff did not provide complete records to resident's responsible party.

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. Medication Technician Angie Rentutar and Administrator Carol Lee arrived during the visit.

During the course of the investigation, LPA interviewed staff as well as reviewed and obtained pertinent documentation such as Resident 1's file (R1). Regarding the allegation that facility staff did not provide complete records to resident's responsible party, the investigation revealed the following: Facility received a request for medical records from Tonon Attorney Service via Valentine Law Group on 11/18/2022. Facility provided partial records including physician reports and medication orders on 02/13/2023. Facility did not provide any other medical or facility records as requested. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report was provided by email to facility