Complaint Investigation Report

392700306-12-10-2021-27-AS-LKIG-C9SNFD-20211217092521

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

11/18/2021 and conducted by Evaluator Bruce Jacobs

COMPLAINT CONTROL NUMBER: 27-AS-20211118142859

Resident does not receive proper meal assistance

Licensing Program Analyst (LPA) Bruce Jacobs arrived at the facility and met with Administrator Katrice Collins 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, residents and other witnesses. LPA reviewed and obtained copies of the resident's (R-1) files and other documentation.

This investigation concluded after several LPA inspections, interviews and record reviews that there was inadequate evidence to conclude that Resident (R-1) does not receive proper meal assistance . LPA interviewed the Facility Administrator, Facility staff and other witnesses who provided conflicting information on the allegation. LPA was able to observe the resident's admission agreement, meal schedule and information on meal service to the resident's room as well

Based on LPA’s observations and interviews conducted, the preponderance of evidence standard has not been met, therefore the above allegations are determined to be UNSUBSTANTIATED.