Complaint Investigation Report
547206651-5-5-2022-24-AS-KHOS-CE6RRZ-20220506131558
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/03/2021 and conducted by Evaluator Mary Garza
COMPLAINT CONTROL NUMBER: 24-AS-20210803102158
On 5/5/2022 Licensing Program Analyst (LPA) M. Garza arrived at facility to deliver complaint findings. LPA met with Licensee, Elizabeth Ewing and informed reason for visit. LPA was COVID pre-screened upon entry. Residents at day program and in the community at time of visit.
During investigation documents received, interview(s) completed. During interviews it was disclosed that staff at the facility had a verbal altercation in front of residents in care.
The allegation listed above is SUBSTANTIATED. Per Title 22, the following deficiencies are being cited on the attached 9099D. Plan of correction discussed. Appeal rights given. Exit interview completed.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction