Complaint Investigation Report
486803822-9-6-2024-21-AS-VBEI-D9AQ9J-20240920115825
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
06/10/2024 and conducted by Evaluator Jill Nakagawa
COMPLAINT CONTROL NUMBER: 21-AS-20240610105634
Staff did not provide adequate supervision to resident in care
Licensing Program Analyst (LPA) Nakagawa arrived unannounced to deliver findings regarding the above complaint allegation and met with Mike Carpenter, Interim Administrator.
Staff did not provide adequate supervision to resident in care – Complaint alleges that a staff brought their family member to the facility allowing them to go into resident rooms without permission and “rummage” through the rooms. CCL staff conducted multiple interviews but were unable to corroborate that this event happened.
Although the allegation that Staff did not provide adequate supervision to resident in care may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction