Complaint Investigation Report

On 6/03/2021, LPA Marybeth Donovan interviewed 4 Staff. 4 out of 4 staff denied facility staff are not providing adequate supervision.

On 6/03/2021, LPA Marybeth Donovan interviewed 3 residents. All 3 residents answered that they were fine with the home and that they do not have any issues with it. One resident does not have any direct knowledge of the incident. One resident declined to answer any further questions. One resident stated that answering questions may be fine but ended interview right after.

LPA reviewed the following but not limited to documents: resident file and requested copies of resident's Individual Program Plan (IPP), appraisal needs and services plan, progress notes, quarterly report, medication administration records and incident reports. No instances of facility not providing adequate supervision were found.

The Department has investigated the above allegations. Based on information from interviews conducted with staff, and records reviewed, although the allegations listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No Deficiencies cited under California Code of Regulations Title 22

Exit interview conducted with Administrator Tram Truong and a copy of this report provided.