Complaint Investigation Report

567609954-3-10-2022-29-AS-KHEN-CCZUVY-20220330155553

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

06/17/2021 and conducted by Evaluator Joann Rosales

COMPLAINT CONTROL NUMBER: 29-AS-20210617103535

Residents not accorded dignity in relationships with staff

Licensing Program Analyst (LPA) JoAnn Rosales conducted a subsequent unannounced complaint visit to this facility. LPA met with Administrator Mike O'Neill.

During today's visit LPA toured the facility with the Administrator, reviewed random resident records, interviewed random staff and residents and obtained copies of pertinent documents. Concerns were that residents are not accorded dignity in their relationships with staff as staff are making rude comments about residents. Interviews on 3/9/22 starting at 9:22 am and 3/10/22 starting at 2:00 pm revealed that staff #1 (S1) said inappropriate comments to and about resident #1 (R1). Based on the information obtained during the course of the investigation the allegation is deemed substantiated at this time.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 9099-D):

Exit interview conducted. Today's reports and appeal rights were reviewed and emailed to the Administrator.