Complaint Investigation Report

415600874-11-15-2023-14-AS-KHOS-CY2L2G-20231129072220

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BRUNO RO , 851 TRAEGER AVE., SUITE 360

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

11/13/2023 and conducted by Evaluator Jaime Vado

COMPLAINT CONTROL NUMBER: 14-AS-20231113131429

Resident was left unattended without assistance for an extended period

On this day Licensing Program Analysts (LPA) Jaime Vado and Grace conducted an unannounced complaint investigation visit. LPAs met with the administrator Monica Tapia and explained the purpose of today's visit.

During today's investigation it was discvered that the resident in question resides in independent living. LPAs reveiwed the file of the resident and observed the residency agreement the resident has with the facility. According to the file and agreement there is no care plan due to the resident being in independent living. The resident does receive home helath services due to a recent surgery where they come every week at least twice. This allegation is unfounded.

This agency has investigated the complaint alleging, "Resident was left unattended without assistance for an extended period". We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.