Complaint Investigation Report

392700306-4-14-2022-27-AS-KHOS-CDUPMX-20220426112705

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

03/29/2022 and conducted by Evaluator Bruce Jacobs

COMPLAINT CONTROL NUMBER: 27-AS-20220329155847

Facility did not follow COVID-19 procedures.

Facility does not post licensing materials (Residents Rights/Ombudsman Poster) in view of residents..

Licensing Program Analyst (LPA) Bruce Jacobs arrived at the facility and met with Administrator Gurpreet Rai to deliver investigation findings on the above allegations. This investigation consisted of site inspections to the facility to conduct interviews with the facility administrator other witnesses.

This investigation concluded that the facility did not follow COVID-19 procedures and follow the visitor screening procedures detailed in the facility's mitigation plan. The facility did not screen visitors to the facility on more than one occasion. In addition, the facility does not have the Resident's Rights or Ombudsman posters 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.