Complaint Investigation Report

019200695-9-24-2025-15-AS-YFLS-DM7Q7R-20251006115528

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

09/15/2025 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20250915154125

On 9/24/25 at 2:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegation above. LPA met with Stephanie Griffiths, Care Staff and explained the purpose of the visit.

During the course of the investigation LPA interviewed W1, S1 and reviewed R1's file.

R1 has lived at the facility since 10/23/24. R1's Physician's Report dated 7/16/24 states that R1 needs assistance with medication admistration, uses a walker for ambulation, is alert and oriented X3, no other medical conditions or concerns are noted. R1 does not have dental insurance.

This agency has investigated the above complaint. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.