Complaint Investigation Report

392700580-8-18-2022-27-AS-KHOS-CHLMSE-20220824095145

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

06/17/2022 and conducted by Evaluator Arielle Pascua

COMPLAINT CONTROL NUMBER: 27-AS-20220617152213

Facility is denying residents access to food.

Licensing Program Analyst (LPA) Arielle Pascua conducted an unannounced facility visit on 08/18/2022 at 2:00pm to deliver complaint findings. LPA Pascua met with Caregiver, Blama Korha and explained the purpose of the visit. LPA Pascua asked Caregiver, Korha to notify the administrator to let them know that CCL was present at this time.

Allegation: Facility is denying residents access to food.

Based on an interview with Caregiver, Joseph Nimeme, it was learned that a representative from Valley Mountain Regional Center conducted an unannounced visit to this facility and found that the pantry was locked. Staff admitted that the pantry was locked because the facility was notified by the doctor and family member to help R1 lose weight because of his recent weight gain. Staff stated that there were keys available for other residents to take and open up the pantry. LPA Pascua also observed that this was the only pantry available for residents to have access to non-perishable food supply.

As a result of this investigation, this LPA finds the allegation to be SUBSTANTIATED-A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Deficiencies were on 9099-D, per Title 22 Regulations, Division 6 and/or Health and Safety Code.

Exit interview was conducted, a copy of this report and appeal rights were left with Caregiver, Joseph Nimeme.