Complaint Investigation Report

on behalf of R1’s family, for copies of records maintained by the facility relative to R1. R1’s responsible party signed an Authorization to Release Information, dated August 30, 2023, which was submitted to the facility along with the written request for copies of R1’s records. The investigation revealed that the request was received by the facility on September 15, 2023, and the licensee was made aware at that time. As of the time of today’s visit, no evidence is maintained or has been provided to conclude that the requested records have been provided to R1’s responsible party. Accordingly, the allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegation is valid. Deficiency is cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 8 and noted on the attached LIC 9099-D.

An exit interview was conducted with Susan Caccam, Wellness Director, and a copy of this report and Licensee/Appeal Rights (LIC 9058) were provided to her at the conclusion of the visit. Susan Caccam’s signature on this report confirms receipt.