Complaint Investigation Report

306003949-11-4-2022-22-AS-SSAS-CL24FC-20221109180345

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

11/01/2022 and conducted by Evaluator Michelle Reed

COMPLAINT CONTROL NUMBER: 22-AS-20221101170901

Staff are not providing adequate activities for resident

Licensing Program Analyst Michelle Reed arrived at the facility to initiate this complaint investigation. Upon arrival, LPA met with Staff Angeles Lazaro. LPA explained the purpose of the visit and discovered that R1 does not live at this facility. R1 lives at Bubbe & Zayde's II.

R1 does not live at this home, therefore, the allegations are unfounded, meaning that the allegations are false, could not have happened and/or are without a reasonable basis. The Department has therefore dismissed the complaint.

An exit interview was conducted and a copy of this report was provided to Administrator Shimon Cagan.