Complaint Investigation Report

561703599-5-20-2022-29-AS-DPEA-CGCRYM-20220715132635

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

05/18/2022 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20220518152544

Facility did not provide resident's records to resident's authorized representative.

Licensing Program Analyst (LPA) initiated a complaint visit regarding above allegation.

Information was received that on 12/22/2021, a formal letter requesting former resident's records was made by reporting party. No response was made by Licensee/Administrator. The facility never responded to the records request. Facility licensee/administrator failed to respond to request. Mr. Laigo stated that he was out of the country when the letter was received and it was not opened until he returned. At that time the deadline had expired and Mr. Lagio stated that he did not produce any records or contact the requesting party.

Based on the information gathered above, allegation is deemed substantiated at this time.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiency is cited (refer to LIC 809-D):

Exit interview conducted and copy of report provided.