Complaint Investigation Report

361881297-10-23-2024-56-AS-KCLS-DADVRF-20241025163951

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

10/15/2024 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20241015100221

Staff not providing adequate care to residents.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with licensee Athena Custodio and explained the elements of the complaint.

Regarding allegation #1, LPA Prieto interviewed residents R1, R2, R3, R4 and R5. All residents interviewed state that the service is more than adequate and enough staff are around to meet their needs. LPA Prieto interviewed both staff at the facility, each stating the care for the clients are being met and there are sufficient staff to meet those needs. During this investigation, bathing aide arrived to meet R4 and conduct that service. LPA Prieto obtained facility daily routine schedule for staff and their responsibilities of the care provided to the residents in care.

Based on the information obtained there is not enough evidence that's staff are not providing adequate care to the resident. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and licensee Custodio and a copy of the report was left with the facility.