Complaint Investigation Report

565800551-3-3-2022-29-AS-KHEN-CCD2Q2-20220309163510

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

01/04/2021 and conducted by Evaluator Joann Rosales

COMPLAINT CONTROL NUMBER: 29-AS-20210104113506

Staff leave residents unattended while in care

Licensing Program Analyst (LPA) JoAnn Rosales conducted a subsequent unannounced complaint visit to this facility for the above complaint allegation to deliver final investigation findings. LPA met with Administrator Eric Terrill.

Concerns were that staff left residents alone in the Gardens (memory care unit) during the night for about 10 minutes. Interviews conducted with random staff and residents on 1/25/21 starting at 2:34 pm, 9/9/21 starting at 11:11 am, 10/19/21 starting at 1:52 pm and 3/3/22 at 8:24 am revealed that no one is aware of residents being left alone in the Gardens at any time. A review of staff records on 9/9/21 starting at 2:44 pm revealed that staff were scheduled to work the Gardens throughout the night. Based on the information obtained during the course of the investigation the allegation is deemed unsubstantiated at this time.

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