Complaint Investigation Report

336426771-7-27-2023-18-AS-NBRN-CUAUJY-20230801153820

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

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

12/21/2021 and conducted by Evaluator Amy Goldenberg

COMPLAINT CONTROL NUMBER: 18-AS-20211221124349

This visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA),

is to initiate the 10 day investigation into the above mentioned complaint allegation. LPA discussed the elements of the alleged violations with Lesley Vannoy, Administrator. During this visit LPA interviewed three staff and made observations of the allegation that staff do not wear masks. LPA observed that staff are wearing masks during this visit. Interviews revealed awareness of staff requirement to wear masks by three (3) of three (3) staff interviewed. All staff report wearing masks while providing care to residents in the facility. Three (3) of four (4) residents interviewed are able to report that staff wear masks. We have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.