Complaint Investigation Report

331881033-1-12-2023-56-AS-KCLS-CNELYL-20230125081032

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

01/11/2023 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20230111170820

Staff did not provide access to a resident's records

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to initiate a complaint investigation regarding the above-mentioned allegation. LPA Prieto met with administrator Ta'Neisha Riley who states that records were requested for client #1 (C1) by C1's responsible party and their designee. Riley states that there request was received, but there was a delay in filling the request. Riley understands that the timeframe of such request was not met. Riley is still in the process of filling the request to provide resident records,

Based on LPA observations, interviews which were conducted and records review, the preponderance of evidence standard has been met. Therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division & Chapter number) are being cited on the attached LIC 9099D).