Complaint Investigation Report

361880570-12-21-2021-18-AS-JESL-CA7S27-20211230122901

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

03/25/2020 and conducted by Evaluator Crystal Colvin

COMPLAINT CONTROL NUMBER: 18-AS-20200325093433

"Margarita" Ana Stark - Licensee/Administrator

Staff failing to meet residents care needs

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of following up on an open complaint with the above allegation(s). LPA Colvin met with Licensee/Administrator "Margarita" Ana Stark and advised them of the purpose of today's visit. Below is a summary of the findings of the complaint.

Regarding allegation "Staff failing to meet residents care needs": LPA Colvin conducted interviews with current residents at the facility, as well as family members and responsible parties of residents who lived at the facility during the time of the complaint, but are no longer present. LPA Colvin's interviews did not result in any concerns regarding staff not meeting residents' needs. Additionally, LPA Colvin did not observe any visible concerns with the residents during today's inspection. Therefore, due to interviews and observations, the allegation "Staff failing to meet residents care needs" is UNSUBSTANTIATED. finding of UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Licensee/Administrator "Margarita" Ana Stark and a copy of this report was provided.