Complaint Investigation Report

306005946-1-23-2025-22-AS-AORZ-DDFUSY-20250131145107

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

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

01/13/2025 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20250113121428

Facility did not provide requested documents.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Executive Director Lindsay Schroeder and explained the reason for the visit. The investigation revealed the following. LPA interviewed the Executive Director and witness 1. Witness 1 reported that the responsible party requested the facility records for Resident 1 (R1) on December 19, 2024 and the facility acknowledged the request but no records were provided. It was reported that on January 3, 2025 the facility was contacted again about the records request but the facility did not respond and as of January 22, 2025 no records have been received. The Executive Director verified this information and reported the document request was received and the document will be provided by January 28, 2025. Based on the evidence gathered through interviews the preponderance of evidence standard has been met therefore the allegation is substantiated. Deficiency is being cited per Title 22, division 6 of the California Code of Regulations. An exit interview was conducted, a copy of the this report (LIC809) along with the citation (LIC809D) and appeal rights was provided to the Executive Director.