Complaint Investigation Report

336426083-4-21-2022-18-AS-KCLS-CDQM64-20220422091915

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

10/15/2019 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 18-AS-20191015164109

Facility is restricting (private) visitations.

Licensing Program Analyst (LPA) Javier Prieto arrived at the facility to deliver findings for the mentioned allegation. LPA Prieto met with Director Quinn Hernandez. During LPA visit, on 10/22/2019, resident #1 (R1) was interviewed in her private apartment. Facility Director and R1's private nurse were in the apartment during the interview, thus restricting R1's privacy to confidential visit.

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