Complaint Investigation Report

392700109-11-18-2022-27-AS-LKIG-CLFLKY-20221123075019

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

09/29/2022 and conducted by Evaluator Maja Jensen

COMPLAINT CONTROL NUMBER: 27-AS-20220929075450

Staff pushed resident to the ground to clean up a spill

On 11/18/22 Licensing Program Analyst (LPA) Maja Jensen arrived at facility to contiue a complaint investigation in to the above listed allegation. LPA Jensen met with site manager Craig Vincelet and explained the purpose of today's visit.

During the course of the investigation LPA Jensen interviewed a current staff member, a former staff member, former resident 1 (R1), R1's conservator and R1's family member. LPA Jensen also reviewed all records in R1's resident file. LPA Jensen was unable to corroborate the statements made claiming that this incident was witnessed. LPA Jensen was also unable to find documentation to serve as supporting evidence that this incident occured therefore the allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it.

No citations are being issued as a result of this investigation. An exit interview was conducted and a copy of this report and appeal rights were given to Craig Vincelet.