Complaint Investigation Report

019200462-6-19-2025-15-AS-KHOS-DJ7JKE-20250702070700

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

06/17/2025 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20250617082117

On 6/19/2025, at 9:45 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to investigate the allegation above. Upon arrival, the LPA informed Caregivers S1 and S2 of the purpose of the visit. The Licensee / Administrator Marcial Julian arrived at the facility at approximately 10:05 AM.

The complaint alleges staff are financially abusing resident.

The LPA interviewed Witness W1 by telephone. The LPA interviewed Resident R1, reviewed R1's physician's report and R1's financial statements. The LPA interviewed the Licensee and S1. The LPA reviewed the facility's financial records. The data collected from the interviews and the review of records shows that the staff are acting in best interest of R1, which does not confirm the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED.

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