Complaint Investigation Report

019200043-2-25-2022-15-AS-YFLS-CC7V4Q-20220304150642

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

05/20/2021 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20210520143002

On this day2/25/22, Licensing Program Analyst (LPA) J. Clancy-Czuleger arrived unannounced to deliver findings on the above allegation and met with Lilibeth Lopez.

On May 24, 2021, LPA Luisa Fontanilla initiated 10-day investigation, interviewed 4 staff and Client 1 (C1) via video call. On 5/25/2021, LPA reviewed C1’s Individual Program Plan (IPP).

All 4 staff interviewed denied hitting or hurting C1 or any other client.

When interviewed by LPA, C1 states staff are nice and feels safe living at the facility. During the tele visit, LPA observed C1 laughing and dancing with one of the staff.

Administrator states C1 has been doing well since moving to this facility.

Based on interviews conducted and LPA observation, the above allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted with Administrator and a copy of this report was provided.