Complaint Investigation Report

366426126-5-27-2022-56-AS-KCLS-CHVSNG-20220902140131

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

04/29/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20220429133816

Facility did not provide a refund upon resident’s death.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding an allegation that the facility did not provide a refund upon resident’s death. LPA met with staff Breeana Redwine. LPA interviewed licensee Kamal Ebadpour and witness. Interviews concluded that a refund was provided. It was later negotiated for a sum that both facility representative and witness agreed upon.

Based on the information obtained there is not enough evidence that the facility did not provide a refund upon resident’s death. Therefore, the allegations is deemed UNSUBSTANTIATED at this time.