Senior Care Records.

Complaint Investigation Report

Ivy Park at Glen Cove, Vallejo08/03/2023Licence 486803921

Census106
Date signed08/03/2023 10:46:08 AM
The inspector’s account

486803921-8-3-2023-21-AS-KMOA-CUJR6C-20230809124431

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

07/19/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230719125002

Staff not allowing resident to have visitor take resident out of facility

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. LPA met with Administrator and discussed the disposition. During the course of this investigation statements were taken from staff and witnesses and documents were obtained and reviewed. The relative who has Power of Attorney for R1 has instructed facility staff to notify the POA in the event a visitor seeks to take R1 off the facility premises; There was a miscommunication during a recent incident involving R1 and a visitor who sought to take R1 outside while remaining on facility premises; Staff assumed that visitor was seeking to take R1 of the premises and advised visitor that the POA would need to be contacted; This resulted in the lodging of the complaint allegation; Subsequent statements from the Complainant confirms the miscommunication and complaint were result of misunderstanding and are not accurate. Based upon the statements, the allegation is UNFOUNDED, meaning that the allegation is not true and without a reasonable basis. The complaint is DISMISSED.

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