Complaint Investigation Report

331881326-6-21-2023-18-AS-JESL-CU8TDT-20230730143851

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

RIVERSIDE ASC , 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

06/15/2023 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20230615101243

Staff disclosed client's confidential information with unauthorized individual.

On 6/21/2023, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Administrator, Kenyota Dokes and Clinical Director, Michelle Hayes who was informed the purpose of the visit. At the time of visit, LPA interviewed staff, and reviewed resident record.

Regarding the allegation “Staff disclosed client's confidential information with unauthorized individual”, it was alleged staff disclosed resident’s confidential information to staff family member. LPA interviewed staff who acknowledged staff had a phone call discussing resident’s private medical information with staff family member present during the call.

Based on LPA’s, interview 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 6) is being cited on the attached LIC 9099D). An exit interview was conducted, and a copy of this report was reviewed with and provided to Kenyota Dokes.