Senior Care Records.

Complaint Investigation Report

Ward Residential Care Home I, Vallejo08/20/2021Licence 486803937

Census6
Date signed08/20/2021 12:09:02 PM
The inspector’s account

486803937-8-20-2021-21-AS-KMOA-C6DLTU-20210830090251

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 101 GOLF COURSE DR. STE. A-230

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

06/16/2021 and conducted by Evaluator Dominic Tobola

COMPLAINT CONTROL NUMBER: 21-AS-20210616101703

On 8/20/2021 Licensing Program Analyst (LPA) Tobola conducted a compalint visit to deliver investigation findings and met with Lead Carestaff, Grace Samonte. Facility was toured, facility client files were reviewed and interviews with staff and outside parties were conducted.

Complaint alleges the facility conducted an illegal eviction for client C1. Based upon record review and interviews with staff and Solano County Case Manager/Conservator and Housing Manager for C1, LPA found that there was miscommunication regarding C1's transfer to another facility. Although, Licensee notified the Housing Manager of C1's transfer the information was miscommunicated to the Conservator from the Housing Manager. LPA received conflicting information from various parties that discussed C1's transfer.

A finding that the complaint allegations illegal eviction is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Appeal Rights Given.

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