Complaint Investigation Report

Review of facility call log records indicated that multiple residents have called for assistance and did not receive a response. Records also indicated that multiple residents have waited 30 minutes or longer for assistance. Based on record review and staff interviews, these allegations are Substantiated .

A finding that the complaint allegation is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

**An Immediate Civil Penalty in the total amount of $500 is being assessed for repeat violations of Regulation 87411(a) and 87303(i) more than once in a 12 month period. (See LIC421IM)**

Exit interview conducted. Plan of Corrections reviewed and developed with Business Office Director. Copy of report, LIC9099D, LIC421IM, Plan of Corrections, and Appeal Rights discussed and provided to Business Office Director. Signature on form confirms receipt of documents.