Complaint Investigation Report
496803339-8-15-2023-21-AS-BMOS-CV7TBD-20230830143457
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
08/11/2023 and conducted by Evaluator Dina Alviso
COMPLAINT CONTROL NUMBER: 21-AS-20230811144525
Staff did not provide resident with an admissions agreement
Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 8/15/2023 at approximately 9:15am, and met with the Administrator Robert Alvarado. LPA requested resident (R1) records to review regarding the allegations listed above. The investigation revealed that resident (R1) is not a resident of the assisted living residential care facility for the elderly-license #496803339.The facility is an assisted living community, which includes a dementia unit;There are independent living units on the property that are not part of the licensed assisted living. The independent living units are rented/leased out to independent individuals. Independent living residents do not receive the care services and supervision that is required as part of residing in the assisted living. LPA observed a lease agreement signed by resident (R1), on 10/31/2022, for an independent living unit. The allegations of, Staff stole resident’s belongings, Resident’s shower is in disrepair, Staff did not provide resident with an admissions agreement, Staff does not post Ombudsman poster, are Unfounded, the Department has no jurisdiction over the independent living portion of Brookdale Paulin Creek.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction