Complaint Investigation Report

107209035-11-10-2025-24-AS-SMOA-DNLNLQ-20251120093355

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

09/22/2025 and conducted by Evaluator Jacques Leffall

COMPLAINT CONTROL NUMBER: 24-AS-20250922131817

Staff do not answer residents' call buttons in a timely manner

Staff do not provide residents with activities

On 11/10/25 at 1:00pm Licensing Program Analyst's (LPA) J. Leffall and Licensing Promram Manager (LPM) S. Moua met with fcaility representatives in an office meeting. Findings were delivered on the aboove allegations.

The Department conducted interviews with staff, residents and reviewed records.

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 Licensee Representative which confirms signature of this report.