Complaint Investigation Report

496803339-11-3-2022-21-AS-CMAZ-CNH2QN-20230127163612

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

10/04/2022 and conducted by Evaluator Dina Alviso

COMPLAINT CONTROL NUMBER: 21-AS-20221004085445

Staff did not address resident's death in a timely manner

Resident was not accorded dignity while in care.

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 11/3/22 at approximately 10:20am, and met with Robert Alvarado Administrator/ED, and Shelby Beem, H&W Director. LPA reviewed resident file documents, resident death reports, and faciliy file documents, including staff trainings; The LPA contacted and interviewed numerous staff regarding the allegations. The investigation revealed that there was no identifying information of residents and/or staff provided by reporting party(s) regarding the filed allegations; The LPA was not able to obtain any information and/or documentation during the investigation to support the above allegations.

Based on record reviews, interviews conducted, and information obtained, there is no evidence to support the violations occurred. The allegations of "Staff did not address resident's death in a timely manner" and "Resident was not accorded dignity while in care" are UNSUBSTANTIATED, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies cited during todays visit.

Exit interviews were conducted with Administrator Robert Alvarado