Complaint Investigation Report

392700993-7-28-2022-27-AS-LKIG-CH7VQU-20220811163854

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

07/25/2022 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20220725143916

Resident did not receive a copy of the admission agreement

On 7-28-22 at 11:55am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the complaint allegation noted above. LPA met with Anuradha Saini and explained the purpose of the visit. During this investigation, LPA interviewed Administrator and Resident1. LPA also reviewed facility file documentation including admission agreement for R1. Based on interviews and record reviews, it was determined that R1 received a copy of her signed admission agreement on 6-20-22. During interview with R1 on 7-28-22, LPA observed admission agreement on R1's nightstand. Additionally, it is indicated in the admission agreement that R1 acknowledged receipt of admission agreement on 10-29-2021 which contains a fee schedule and acknowledgment of handbook received. Based on interview and record review, the preponderance of evidence standard is not met, and this allegation is UNFOUNDED.

An exit interview was conducted with Anuradha Saini and a copy of this report was left with Anuradha.