Complaint Investigation Report

361880660-7-13-2022-56-AS-KCLS-CNPT3M-20230203132235

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

07/07/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20220707142246

Facility does not have sufficient staff to meet resident's needs.

Facility is not following resident's admission agreement

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding allegations that the facility does not have sufficient staff to meet resident's needs and facility is not following resident's admission agreement. LPA Prieto met with Administrator Kyong Suk "Clara" Lee to discuss the elements of the complaint. LPA Prieto obtained client #1's (C1) admissions agreement stating that bed linen are to be changed and washed once a week. LPA interviewed Housekeeping Supervisor (S1) and obtained facility cleaning schedule. Documentation will show that cleaning of client rooms are met and sufficient staff are present to perform those duties, thus abiding cleaning of resident's linens per agreement. LPA obtained staffing schedule that shows there are sufficient staff to meet the needs of the residents. LPA interviewed client #1 (C1) in question and observed C1's living quarter to be clean and with clean linens. Based on the information obtained there is not enough evidence that the facility does not have sufficient staff to meet resident's needs and facility is not following resident's admission agreement. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed be LPA Prieto and Administrator Lee and a copy was left with the facility.