Complaint Investigation Report

342701174-5-18-2023-27-AS-KHOS-CSCHC2-20230531060401

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

05/05/2023 and conducted by Evaluator Tung Truong

COMPLAINT CONTROL NUMBER: 27-AS-20230505141817

Staff did not treat resident with dignity and respect

On 5/18/2023, Licensing Program Analyst (LPA) Tung Truong conducted an unannounced visit to this facility to conclude the investigation of the above allegation and to deliver the findings. LPA met with Administrator Unaisi Waqalala and explained the purpose of the visit.

Throughout the course of the investigation, LPA conducted interviews and reviewed records. Regarding the allegation that staff did not treat resident with dignity and respect, it was determined that there was insufficient evidence to corroborate the allegation. Resident (R2) and (R3) who were interviewed reported that they did not hear staff yell or speak inappropriately to residents. Staff (S1) stated that he did not say anything to residents inappropriately.

Based on information obtained, LPA finds the allegation above to be UNSUBSTANTIATED- A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of this report was left at the facility.