Senior Care Records.

Complaint Investigation Report

Lakeview Lodge, Emerald Hills05/31/2023Licence 415600864

Date signed05/31/2023 10:47:41 AM
The inspector’s account

415600864-5-31-2023-14-AS-KHOS-CTDGKB-20230703052429

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SF COASTAL AC/SC , 851 TRAEGER AVE., SUITE 360

This is an official report of an unannounced visit/investigation of a complaint received in our office on

02/06/2023 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20230206103123

Staff engaged in verbal altercation in presence of resident

On this day, Licensing Program Analyst (LPA) conducted an unannounced complaint investigation visit in order to deliver the findings regarding the allegations. LPA met with administrator Zack Pilkerton and explained purpose of today's visit.

During the course of the investigation interviews were conducted and documentations was reveiwed. Per interviews the altercation was discovered to be a verbal disagreement between resident's responsible party members regarding an eviction notice served due to non-payment and facility licensee and administrator present. The responsible party members were visiting the resident when the disagreement happened. It is one party's word over the other in regards to who was at fault and who was at fault during the disagreement.

Based on these observations, the above allegations are UNSUBSTANTIATED.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time.

Report is reveiwed with the administrator. No citations issued.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction