Complaint Investigation Report

107209035-4-11-2025-24-AS-SMOA-DGHMS6-20250509095125

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

04/02/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250402123244

On 4/11/25 at 11:00 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegation. LPA met with General Manager (GM) Michelle Ramos.

The Department conducted an interview with facility GM. GM states as of 4/3/25 S1 resigned employment from facility.

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 General Manager which confirms signature of this report.