Complaint Investigation Report

331881033-11-27-2023-56-AS-KCLS-CY3PWS-20231130104113

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

05/01/2023 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20230501085745

Staff intervened with resident's representative's right to participate in decision-making regarding the care and services to be provided to the resident.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation for the above-named allegation. LPA met with Administrator Ta'Neisha Riley to discuss the elements of the complaint. Regarding the allegation, Staff intervened with resident's representative's right to participate in decision-making regarding the care and services to be provided to the resident; interview with resident #1 (R1), in question, reveals the authorized representative was present during a doctor's visit with R1. R1 did stated that the authorized representative, as well as the facility administrator were included during a medical evaluation. Interview with Administrator Riley also revealed that all parties were physically present during the resident evaluation as well as confirming appointment dates and locations prior to evaluations. Documentation was obtained confirming the date and location of R1's medical evaluation.

Based on the information obtained there is not enough evidence that staff intervened with resident's representative's right to participate in decision-making regarding the care and services to be provided to the resident. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and administrator Riley and a copy was left at the facility.