Complaint Investigation Report

392700825-5-3-2022-27-AS-LKIG-CGE37P-20220716180014

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

05/02/2022 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20220502125225

Staff interacted inappropriately with resident(s) in care.

On 5/3/22 Licensing Program Analyst (LPA) Maja Jensen arrived at facility to open a complaint investigation. LPA Jensen met with Administrator Jamesha Boyd and explained the purpose of today's visit.

LPA Jensen interviewed Administrator Jamesha Boyd who confirmed that on 4/29/22 a staff member had a verbal altercation with a resident. Other residents had returned from an outing and witnessed the incident. The Adminstrator was contacted and promptly arrived on scene and investigated the incident. The Administrator determined that the staff member reacted inappropriately and terminated him effective immediately. The Administrator reported the incident as required to the Regional Center and Community Care Licensing. LPA Jensen also reviewed the incident reports submitted. Based on LPA's review of the incident reports and interview with the Administrator which was conducted the preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D.

An exit interview was conducted with Executive Director. A copy of this report and Appeal Rights given.