Senior Care Records.

Complaint Investigation Report

Carver Senior Homes 1, Placentia08/20/2021Licence 306005756

Census6
Date signed08/20/2021 05:21:20 PM
The inspector’s account

306005756-8-20-2021-22-AS-SSAS-CFLV2F-20220621160302

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

08/11/2021 and conducted by Evaluator Michelle Reed

COMPLAINT CONTROL NUMBER: 22-AS-20210811135850

Resident's have locks on their bedroom doorknobs from the outside

Licensing Program Analyst Michelle Reed arrived at the facility to discuss the complaint allegations. Upon arrival, LPA met with Carmen Nicholas. Staff Nielgar Buton and Ransy Laxamana were also present. Administrator Virgilio De Guzman arrived a short time later.

Resident's were interviewed, files were reviewed and doorknobs were inspected. LPA noted that the doorknobs on Room #2, #4 and #5 had locks on the outside of their door. Staff interviewed could not explain why the doorknobs had locks.

Based upon LPA's observations, the preponderance of evidence standard has been met therefore the above allegation is substantiated.

See LIC9099D for cited deficiency. An exit interview was conducted, appeal rights discussed and a copy of this report was given

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