Complaint Investigation Report

312700314-9-22-2021-25-AS-KHOS-C7ANLG-20210928103331

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

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

09/14/2021 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 25-AS-20210914145308

Resident not receiving well-balanced meals.

Resident is not being encouraged to participate as fully as their conditions permit in daily living activities.

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 09/22//2021 to deliver investigation findings for complaint received on 09/14/21. Prior to visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; upon entry LPA completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Surgical Mask.

LPA reviewed resident records, facility records, and conducted interviews.

LPA finds that facility met Tittle 22 requirements.Records from R1's physician confirmed that R1 was receiving the proper diet and level of activity for their current condition. Immediate family who visit the facility often express being very satisfied with R1's care.

This agency has investigated the above complaint allegations. 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. We have therefore dismissed the complaint. Exit interview conducted, copy of report provided.