Complaint Investigation Report

502700233-7-10-2023-27-AS-KHOS-CU5LSW-20230727090124

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 2525 NATOMAS PARK DR. STE.270

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

04/14/2023 and conducted by Evaluator Victoria Brown

COMPLAINT CONTROL NUMBER: 27-AS-20230414154005

Facility staff are not providing care and supervision as necessary to meet the resident's needs.

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 7/10/23 at 10:20am to conclude the complaint investigation. LPA met with Zachary Davis, Administrator and stated the purpose of the visit. Upon arrival, LPA observed residents participating in a group activity. LPA reviewed documents submitted to Community Care Licensing (CCL). LPA conducted a random amount of interviews during this visit. LPA observed there is a sink not working in 1 of the public restrooms, however, there are 3 others that are working during this visit. LPA also observed there is 1 showerhead leaking, however, there are 6 others to be used by residents. Administrator has been working on repairing those items prior to todays visit and scheduled repair for this week. Based on interviews with a random amount of Public Guardian offices, Conservators, Residents and staff the investigation revealed that there is an insufficient amount of evidence. Allegation is deemed UNSUBSTANTIATED. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was conducted, copy of report provided.