Complaint Investigation Report

361881052-3-24-2022-56-AS-KCLS-CDMLKV-20220419085007

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

03/22/2022 and conducted by Evaluator Javier Prieto

COMPLAINT CONTROL NUMBER: 56-AS-20220322140319

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding allegations that a resident was threaten by staff. LPA Prieto met with administrator Erica Carr. Carr states at resident #1 (R1) in question was interviewed with Inland Regional Center (IRC) staff (S2) and facility staff (S1) prior to LPA visit and R1 could not confirm that R1 was threatened by staff (S1) in question. S1 states no threats were ever made to R1. IRC staff (S2) states that during interview with R1, R1 could not confirm that a threat was made by staff in care. S2 offered R1 the opportunity to be removed from the facility if there was fear or threats made, which R1 refused to be removed from the facility. R1 was at the facility at time of complaint visit. LPA Prieto interviewed R1, who stated that he does not feel threaten living in the home and wishes to continue living at the facility.

Based on the information obtained there is not enough evidence that resident was threatened by staff. Therefore, the allegation deemed UNSUBSTANTIATED at this time. 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, therefore the allegation is UNSUBSTANTIATED.