Complaint Investigation Report

107209036-1-13-2026-24-AS-SPIY-DQPLK4-20260126074854

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

07/01/2025 and conducted by Evaluator Katie Brown

COMPLAINT CONTROL NUMBER: 24-AS-20250701091854

Staff are not allowing resident to attend church services

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct a subsequent complaint visit. LPA met with and discussed the allegation with Administrator (AD) Heidi Setty. During this visit, LPA visited Memory Care and observed R1 and conducted record review.

This Department has investigated the allegation above: Resident (R1) was restricted from leaving the facility with family on 6/29/25. On 6/28 and 6/29/25 staff referenced restrictions placed by R1's Public Guardian (PG) that approval was needed prior to R1 leaving the facility. Based on review of email coorespondence and interviews conducted, the facility followed the instructions put in place by PG on 6/26/25. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

A deficiency is being cited in accordance with California Code of Regulations on the attached LIC 9099-D.

An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were