Complaint Investigation Report

for both of these care homes at this time.

Based on interviews it was learned that the facility designated Administrator was present at this care home about 2-3 times a week. It was learned that she would be present in the care home for 3-4 hours when she was present. Based on the days and times present at this facility it amounted to a total of 12 hours a week.

Based on a review of the records, it was learned that the days that Jessica Dizon was present at this care home varied from week to week. The dates and times when the facility designated Administrator was present would often times contradict the days and hours set forth on the LIC 500 that was submitted into CCL. This LIC 500 was completed and submitted by the facility designated Administrator and dated on 04/09/2024.

Based on a review of the records, it was learned that the days and hours set forth on the forms and documents that were submitted into CCL by the facility designated Administrator had an overlap of days and times where it would not have been possible for her to be present at both facilities since she was scheduled at both care homes.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility house manager at this time.