Complaint Investigation Report

374604169-11-18-2022-18-AS-DMUN-CLNUWD-20221130145634

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

11/15/2022 and conducted by Evaluator Chinwe Nwogene

COMPLAINT CONTROL NUMBER: 18-AS-20221115090047

Facility staff did not provide resident representative with admissions agreement upon request.

On November 18, 2022, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Administrator, Ali Naghibi who was informed of the purpose of the visit. During the investigation, LPA interviewed Resident #1 (R1) Responsible Party, and interviewed Administrator.

Regarding the allegation “Facility staff did not provide resident representative with Admissions Agreement upon request”. LPA interviewed Administrator, Ali Naghibi who stated the Admission agreement was emailed to R1 Responsible Party when R1 moved in and was again emailed on November 15, 2022 when R1 Responsible Party reported to have not received the Admission Agreement. Administrator stated R1 Responsible Party confirmed receipt of the Admission Agreement on November 15, 2022. LPA called Resident #1 Responsible Party and was able to confirm Resident #1 Responsible Party received the Admission Agreement.

This agency has investigated the complaint alleging “Facility staff did not provide resident representative with admissions agreement upon request”. We have found that the complaint was unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted, and a copy of this report was reviewed with and provided to Ali Naghibi.