Complaint Investigation Report

107209492-8-22-2025-24-AS-SMOA-DLKKVB-20250916081406

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

06/30/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250630150714

Neglect/ Lack of care and supervision resulting in resident having scabies

On 08/22/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings.

LPA introduced self, stated the purpose of the visit, and met with Administrator Karen Dhaliwal.

During the course of the investigation, the Department conducted interviews, records were reviewed and toured the facility. R1 developed skin rashes that were not diagnosis as scabies. The facility has notified R1’s physician and treatment has been provided for R1’s skin rash.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided Administrator, whose signature confirms received of this report.