Complaint Investigation Report

486803228-3-16-2022-21-AS-KMOA-CD9R5U-20220407124342

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

03/03/2022 and conducted by Evaluator Dominic Tobola

COMPLAINT CONTROL NUMBER: 21-AS-20220303144957

Residents are being sexually abused by an unknown perpetrator

Resident was hospitalized for an unknown reason

Staff did not seek medical attention for resident

Staff did not notify resident's authorized representative of incidents

Resident is not provided with appropriate footwear

On 3/16/2022 LPA Tobola conducted a facility visit for the purpose of delivering complaint findings. LPA arrived and was greeted by Administrator, Donnabell Galacia (DG). LPA conducted interviews with staff and reviewed facility documentation.

Based on interviews with Administrator and Staff (S1) and a review of client census reports LPA found that client (C1) does not currently reside in the RCFE licensed facility. In addition, upon client census review C1 had not resided in the RCFE licensed facility between January 2021 to February 2021, therefore the allegations did not occur in the CCLD licensed RCFE facility and are determined to be UNFOUNDED.

This agency has investigated all of the complaint allegations listed above. We have found that the complaint allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis.

No deficiencies cited during the visit. LPA provided Administrator with an email copy of the complaint report.