Complaint Investigation Report

019200956-11-22-2022-15-AS-KHOS-CLVJKK-20221207060715

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

03/26/2021 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20210326141406

-Facility staff physically abused resident

On 11/22/2022 at 2:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and to deliver findings in regards to the allegations above. LPA met with Administrator, Nader Shabahangi.

During the course of investigation, LPA interviewed residents, staff, witness, and complainant. Interview with resident revealed that no staff mistreat residents. Interview with staff indicated that no residents were physically abused or restrained by staff. Witness stated that facility staff are caring towards residents and have not witnessed staff physically abused or restrained resident.

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 allegations are UNSUBSTANTIATED.

Exit interview conducted. A copy of this report provided.