Complaint Investigation Report
430708498-4-3-2024-26-AS-KHOS-D4KHV6-20240422063125
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/29/2021 and conducted by Evaluator Grace Donato
COMPLAINT CONTROL NUMBER: 26-AS-20210629163104
Facility staff did not assist resident with medical needs
On 4/3/2024, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced complaint inspection. LPA met with Administrator Marina Sampani explained the purpose of the visit.
The Department investigated the allegation that staff did not assist resident with medical needs and based on an interview with R1’s provider, there is not a preponderance of evidence to prove or disprove the allegation occurred. The allegation is therefore unsubstantiated.
No deficiencies cited and exit interview was conducted.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction