Complaint Investigation Report

107209044-10-1-2021-24-AS-SPIY-C7TK7E-20211015073900

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

12/16/2020 and conducted by Evaluator Les Xiong

COMPLAINT CONTROL NUMBER: 24-AS-20201216143828

Lack of supervision resulted in resident AWOL.

Licensing Program Analyst (LPA) L. Xiong conducted the complaint investigation visit to the facility. During this visit LPA delivered investigation findings regarding the above allegations. I met with staff Roselle A. Tayag and spoke to Jill Stowell, Administrator and inform them the purpose of the visit.

The Department has investigated the complaint alleging: Resident sustained injury while in care, lack of supervision resulted in resident AWOL and unlawful eviction. Based on the interviews conducted and/or records review the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.