Complaint Investigation Report

According to Brookdale Roseville's authorization for release of records form, resident's (R1) Responsible Party (RP) submitted request on 08/22/2022. On 09/16/2022, RP followed up with ED on the status of the request. Interview statement received from ED, indicated the authorization for release of records form had been misplaced and was found when RP asked for the status of the request. ED stated it took a couple days to get the records together for RP. According to ED, RP picked up R1's records on 09/21/2022 at the facility.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Health and Safety Code, Title 22, Division 6, Chapter 3.2 are being cited on the attached LIC9099D.

An exit interview was conducted with Chantal Salinas, Executive Director, and a copy of this report will be provided to the facility via email.