Complaint Investigation Report

361800071-10-19-2022-56-AS-KCLS-CKKNCQ-20221026102103

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

08/01/2022 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20220801095248

BLOSSOM GROVE ALZHEIMER'S SPECIAL CARE CENTER

Facility did not correctly refund resident.

Licensing Program Analysts (LPA) Bernadette Allen arrived at the facility unannounced to commence a complaint investigation and deliver the findings for the above complaint allegation. LPA met with Administrator Susiani Halium.

After interviews, record review, and gathering evidence, it was determined that the resident’s funds were refunded. Thus, the allegation that the facility did not correctly refund resident was deemed to be UNFOUNDED. A finding of UNFOUNDED means that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted, and a copy of this report was given to Susiani Halium at the conclusion of the visit.