Complaint Investigation Report

019200347-10-15-2021-15-AS-KHOS-C86P24-20211026105519

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1515 CLAY STREET, STE. 310

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

11/08/2019 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 15-AS-20191108164510

On 10/15/21 at 12:45PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct a subsequent complaint visit and deliver the investigation finding. LPA explained the purpose of the visit with the case manager (CM). LPA spoke with Program Director on the phone who authorized CM to act on her behalf and sign the report.

Based on interviews and record reviews, client (C1) made inconsistent statements about being sexually assaulted. C1 was unable to provide accurate details regarding location and witnesses to the alleged assault. C1 told LPA she does not remember any details of the incident she reported in October 2019. LPA interviewed staff who denied that the incident occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated.

No deficiencies cited. Exit Interview conducted and a copy of this report provided.