Senior Care Records.

Complaint Investigation Report

Casa Alice Care Home, Mountain View06/14/2024Licence 435202415

Census6
Date signed06/14/2024 11:54:33 AM
The inspector’s account

435202415-6-14-2024-26-AS-KHOS-DABGR2-20241023053335

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CENTRAL COAST CR/RES , 2580 N. FIRST STREET, STE. 350

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

06/03/2024 and conducted by Evaluator David Marrufo

COMPLAINT CONTROL NUMBER: 26-AS-20240603152426

Facility did not provided requested documents to POA in a timely manner.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Administrator Becky Bi.

On 06/03/2024, the Department received a complaint with the above allegation. LPA Marrufo conducted an initial complaint investigation visit on 06/13/2024. On 06/14/2024, LPA Marrufo received a telephone call and an email from resident R1's Power of Attorney (POA) stating that POA received the requested records of R1 on 06/11/2024 and does not want to move forward with the complaint. LPA Marrufo obtained a copy of Administrator Becky Bi's Proof of Delivery which states the documents were delivered to POA on 06/10/2024. This agency has investigated the complaint allegation listed. Based on interviews and review of records, the CCLD has found that the complaint allegation is unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This report was reviewed with Administrator Becky Bi and a copy of this report was provided.

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