Complaint Investigation Report

306006040-11-1-2022-22-AS-SSAS-CKUW2J-20221104165426

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

08/17/2022 and conducted by Evaluator Michelle Reed

COMPLAINT CONTROL NUMBER: 22-AS-20220817101613

Resident wandered away from facility twice due to lack of supervision

Licensing Program Analyst (LPA), Michelle Reed made an unannounced visit to the facility for the purpose of presenting the findings of this complaint investigation. Upon arrival, LPA met with Administrator Jennifer Kornmann. The complaint was investigated and consisted of interviews with the facility staff, Administrator and witnesses. The following was determined:

Anonymous Complainant alleges that unknown resident wandered away from the facility twice. No dates or times were provided as to when the alleged incidents took place. The facility was cited prior for elopements. It is unknown if this allegation is the same incidents.

This agency has investigated this complaint alleging that a resident wandered away due to lack of supervision from staff. We have found that the complaint is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.An exit interview was conducted and a copy of this report was provided to Administrator Jennifer Kornmann.