Complaint Investigation Report

317005468-12-7-2022-25-AS-TORZ-CMC38K-20221221170140

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CHICO - RESIDENTIAL , 520 COHASSET RD., STE. 170

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

11/09/2022 and conducted by Evaluator Todd Tryon

COMPLAINT CONTROL NUMBER: 25-AS-20221109144603

Facility staff are not releasing past resident's records.

On 12/7/2022 LPA Tryon visited the facility to finish this complaint. LPA was screened at the door for COVID symptoms. LPA met with Ronica Rao, Business Office Coordinator.

LPA has communicated with complainant and reviewed documentation. At this time, it appears that the facility has provided some documentation as per the request of the POA and representative of resident R1, but has not furnished several documents as spelled out on the request from POA and Representative. Documents that were requested but not provided were: LIC 602A Resident Appraisal; LIC 613C Personal Rights; LIC 621 Personal Property and Valuables; LIC 624 Unusual Incident Reports; LIC 622 Centrally Stored Medication Logs. Since these documents have still not been provided to POA/Representative as of this date, the allegation is SUBSTANTIATED. A finding of submstantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiency is cited as per Title 22, Section 87648.2 (a)(19). Appeal Rights provided, exit interview conducted..