Complaint Investigation Report

079200772-1-6-2023-15-AS-HHUL-CP5N6S-20230217091133

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

03/03/2022 and conducted by Evaluator Grace Luk

COMPLAINT CONTROL NUMBER: 15-AS-20220303170232

On 1/6/2023 at 10:00AM, Licensing Program Analysts (LPAs) G. Luk and L. Francisco arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegation above. LPAs met with Caregiver, Shamari Washington-Pitre and informed her the reason for the visit.

During the course of investigation, LPAs interviewed 2 clients, 7 staff, and complainant. LPAs also reviewed documents including admission agreement, IPP, ISP, emergency information, incident reports, and photos of injuries. Interview with clients and staff revealed that no staff caused any bruises or injuries to clients.

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 allegation is UNSUBSTANTIATED.

Exit interview conducted. A copy of this report provided.