Complaint Investigation Report

374603746-3-4-2022-08-AS-JRAE-CD22YD-20220330174830

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/26/2021 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20210326083948

Staff failed to provide former resident belongings to family.

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out a complaint. LPA identified herself, was granted entry, and stated the purpose of the visit to Jiwan Chhina, Administrator. During the investigation, LPA toured the facility, conducted interviews and completed a records review. It was alleged that the staff failed to provide former resident's belongings to a family member. Interviews revealed that when Resident 1(R1) arrived to the facility they came with an older computer and some personal items/clothes. Interviews revealed when R1 passed away the family member attempted to gather R1s items and the staff would not release them to the family. Staff interviews revealed they did not release the items to the family member requesting the items due to them not showing the Power of Attorney (POA) to collect the items. Interviews and LPA observation revealed the family member that is requesting the items was not named on any paperwork as the Responsible Party (RP) or POA.The allegation is unsubstantiated. An exit interview was conducted with Chhina. A copy of this report and Licensee Appeal Rights (9058 01/16) were emailed to Administrator after the conclusion of the visit, LPA Holmes requested an electronic message reply to confirm receipt of these documents.