Complaint Investigation Report

107209164-3-6-2025-24-AS-SMOA-DEHUFQ-20250306143303

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

12/19/2024 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20241219120418

Staff neglect resulted in resident developing maggots in the mouth

On 3/6/225 at 1:15pm Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to deliver findings on above allegations. LPA met with Licensee (L1) Camala Kopazz and stated purpose of visit.

The department conducted interviews and reviewed records. Based on the information obtained, the above allegation is unsubstantiated.

A copy of this report was provided to Licensee, whose signature on this form confirms receipt of this report.