Complaint Investigation Report

392700306-11-18-2021-27-AS-LKIG-C9D2W6-20211203164500

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

10/12/2021 and conducted by Evaluator Bruce Jacobs

COMPLAINT CONTROL NUMBER: 27-AS-20211012163213

Licensing Program Analyst (LPA) Bruce Jacobs arrived at the facility and met with Assistant Administrator Gurpreet Rai to deliver investigation findings on the above allegation. This investigation consisted of site inspections to the facility to conduct interviews with the facility administrator, staff and residents. LPA reviewed and obtained copies of the resident's (R-1,2,3) files and other documentation.

Based on interviews with residents, reviews of records and medical information and incident reports, this investigation concluded that several residents had contracted scabies and/or bed bugs at the facility.

As a result of this investigation, LPA finds the allegations to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies are cited on 9099-D, per Title 22 Regulations, Division 6.

Exit interview conducted and report provided. Appeals rights printed.