Complaint Investigation Report

342700333-12-2-2021-25-AS-MSEY-C9GMY6-20211207090102

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 520 COHASSET RD., STE. 170

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/10/2021 and conducted by Evaluator Kevin Mknelly

COMPLAINT CONTROL NUMBER: 25-AS-20211110101410

Facility staffing is insufficient to resident needs.

Facility staff did not meet resident's incontinence care needs.

On 12/2/21 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Licensee to deliver investigation findings. LPA followed Covid protocols for screening and hand sanitizing. LPA wore surgival mask. LPA was screened by receotionist upon arrival.

LPA reviewed stafffacility records, and conducted interviews.

LPA finds that facility met Tittle 22 requirements.

R1 stated in interviews that she was only intending to express issues with her roommate, not her care. R1's care needs are met. R1 has been provided an alternative room and is currently satisfied.

This agency has investigated the above complaint allegations. We have found that the complaint 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.

Exit interview conducted and report provided.