Complaint Investigation Report

019200188-6-18-2024-15-AS-HHUL-D7VVDC-20240806162029

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

06/17/2024 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20240617154153

On 6/18/2024 at 1:20 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger A. Gharachorloo arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with staff Omar Walker and called administrator Debra Pickens.

During the initial 10-day complaint visit. LPA interviewed staff and collected the admissions agreement for R1. S1 stated that they just "reopened" and started accepting residents again after taking a hiatus for two years. S1 said that the resident moved in on June 1st.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.