Senior Care Records.

Complaint Investigation Report

G.l.o.m. ARF 2, Livermore06/20/2025Licence 019200842

Census6
Date signed06/20/2025 10:42:02 AM
The inspector’s account

019200842-6-20-2025-15-AS-HHUL-DJ7SXT-20250702141628

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

01/27/2025 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20250127121722

On 6/20/2025 at 9:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPA met with staff, Angela Anderson and explained the purpose of the visit. Program Director, Ken Manu arrived 15 minutes later.

During the course of investigation, LPA interviewed 4 clients, 3 staff, witnesses, and complainant. LPA reviewed and obtained documents including staff roster with contact information, emergency information, and facility notes. Interview with complainant indicated that S4 would yell at clients while at the facility and in public. Interview with clients and witnesses revealed that they have witnessed staff yelling at clients.

Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted with Ken Manu. A copy of this report and appeal rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction