Complaint Investigation Report

336408502-11-23-2022-56-AS-NBRN-CLLVU5-20221128154411

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

11/18/2022 and conducted by Evaluator Amy Goldenberg

COMPLAINT CONTROL NUMBER: 56-AS-20221118090620

Facility staff do not ensure that resident medication is inaccessible to residents.

Resident is forced to have medicatons dispensed by facility staff.

This unannounced visit by Amy Goldenberg, Licensing Program Analyst (LPA), to initiate the 10 day visit to investigate the above-mentioned complaint allegations.

Investigation revealed that R1 does not reside at this address. During this visit LPA learned that this licensee is an operator of a room and board facility at the address located next door where R1 resides.

We have found the complaint allegation 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. A copy of this report is being reviewed with, and furnished to the facility representative.