Complaint Investigation Report

107209439-7-8-2025-24-AS-SMOA-DJELAM-20250709083522

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

06/27/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250627140650

Staff left resident in soiled diapers for an extended period of time

Staff are not following physicians orders

On 7/8/25 at 12:00pm Licesnsing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit and to deliver findings.LPA was granted entry and met with Staff (S1) Gloria Zuniga. Administrator (A1) Ron Camilo was not present during visit, however LPA called (A1) to inform of the findings.

Based record reviews, observations, and interviews conducted, staff denied allegations. LPA checked medicatons and it appears that facility is following Physicians orders.

Although the allegations 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. No deficiencies were issued.

Exit interview conducted. A copy of this report was distributed to S1 which confirms signature of this report.