Senior Care Records.

Complaint Investigation Report

Haven's House of Assisted Living, Fairfield04/21/2023Licence 486804012

Census2
Date signed04/21/2023 11:03:26 AM
The inspector’s account

486804012-4-21-2023-21-AS-CMAZ-CRGUPX-20230503154616

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

04/14/2023 and conducted by Evaluator Victoria Bertozzi

COMPLAINT CONTROL NUMBER: 21-AS-20230414100907

Licensee did not release resident's personal belongings to responsible party

Licensing Program Analyst Bertozzi arrived unannounced to conduct a complaint investigation regarding the above allegation and met with Licensee, April Smith.

Licensee did not release resident's personal belongings to responsible party - Complaint alleges that personal items including letters, medication and incontinence products were not released to the responsible party after resident moved. Per conversation with Licensee they returned the letters and medication to the Veteran's Association and denied having incotinence products belonging to the the resident.

A finding that the complaint allegation, Licensee did not release resident's personal belongings to responsible party was unsubstantiated meaning that although the allegation may have happened there is not a preponderance of evidence to prove that the allegation occurred.

No deficiencies cited during this inspection

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