Complaint Investigation Report

107209475-12-17-2025-24-AS-AWAN-DPHS27-20251219122904

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

09/24/2025 and conducted by Evaluator Jimmy Duarte

COMPLAINT CONTROL NUMBER: 24-AS-20250924124046

Staff physically abuse resident(s) in care.

Staff emotionally abuse resident(s) in care.

Staff member caused injury to resident in care.

Staff did not allow resident in care to have visitations.

Staff do not allow resident access into and out of their room while in care.

Staff are not maintaining accurate resident records for residents in care.

On 12/17/2025, Licensing Program Analyst (LPA) J. Duarte and Licensing Program Mananger (LPM) A. Walton, met with with staff, who stated that they would contact the administrator. Staff allowed entry and LPA explained the reason for the visit. Administrator Guadalupe Corona arrived shortly after.

The Department conducted interviews and reviewed records. Based on the interviews conducted and records reviewed, residents and staff denied the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did occur; therefore, the allegations are Unsubstantiated.

An exit interview was conducted and a copy of this report was discussed and provided to the administrator whose signature on this form confirms receipt of this document.