Complaint Investigation Report

486803809-4-29-2024-21-AS-KMOA-D5QT78-20240529142820

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

04/25/2024 and conducted by Evaluator Jill Nakagawa

COMPLAINT CONTROL NUMBER: 21-AS-20240425204905

Staff did not abide to admission agreement

During investigation, Licensing Program Analysts (LPAs) Mutialu and Nakagawa determined that the involved resident (R1) lived in an area of the facility that is deemed Independent and not licensed. Due to this, the complaint allegations that facility staff had not abided to admission agreement is unfounded as CCL does not have jurisdiction over the independent living portion of this facility.