Complaint Investigation Report

374603230-11-16-2022-18-AS-DMUN-CLNVUV-20221130154521

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

11/14/2022 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20221114141423

On November 16, 2022, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Dionisia Verzosa who was informed of the purpose of the visit. During the investigation, LPA interviewed Resident #1 Responsible party, interviewed Licensee, and reviewed resident records.

Regarding the allegation “Illegal Eviction”, it was alleged Resident #1 (R1) was evicted without proper notice. Interview with R1 Responsible Party (RP) revealed no eviction notice was received for R1. Interview with R1 responsible party (RP) also revealed R1 wasn’t allowed to return to the facility after being discharged from hospital and R1 wasn’t given enough time to find another home. LPA interviewed Licensee who stated R1 needed a higher level of care than the facility could provide. Licensee stated R1 Responsible Party was notified via text message on November 4,2022 that R1 is not allowed back to the facility due to sudden change in R1 behavior.

Based on LPA interviews, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division & Chapter number 6) are being cited on the attached LIC9099D). An exit interview was conducted, and a copy of this report was reviewed and provided along with appeal rights to Dionisia Verzosa.