Complaint Investigation Report

107202784-4-22-2022-24-AS-MHON-CDTUZP-20220425160151

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

09/13/2021 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20210913112925

Staff does not treat resident with respect

Resident had inappropriate interaction with another resident

Licensing Program Analyst (LPA) M. Medina conducted a subsequent visit to facility to investigate complaint. LPA identified herself and discussed the purpose of visit with Administrator, Veronica Matthew.

LPA conducted interviews, and reviewed documentation received during complaint investigation. Based on interviews, and record reviews, there was insufficient evidence that staff handled resident in a rough manor, staff does not treat resident with respect, and resident had inappropriate interaction with another resident.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted. No deficiencies cited.