Complaint Investigation Report

107209035-6-5-2025-24-AS-SMOA-DHKL47-20250612082501

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

06/02/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250602085301

Staff did not provide requested record(s) to resident’s representative.

Staff prevented resident from receiving private phone calls.

Staff did not ensure resident's toileting needs were met.

Staff did not ensure resident's personal hygiene item was properly stored.

Staff did not properly dispose of resident’s soiled briefs.

Staff did not treat residents with dignity or respect.

Licensee overcharged resident for services.

On 6/5/25 at 9:30 am Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with General Manager (GM) Michelle Ramos.

The Department conducted an interviews with facility staff, reviewed facility records, resident files and incident reports. LPA toured resident's rooms and reviewed for cleanliness and any odors. LPA observed telephones accessible to residents for residents to use as needed.

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.