Complaint Investigation Report

100404809-6-19-2023-24-AS-SMOA-CT2LNE-20230622085409

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

05/26/2023 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20230526144209

On 06/14/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver findings on the

above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Karely Alcantar.

During the course of the investigation, LPA conducted interviews, toured the facility, and reviewed records. LPA observed during the tour, Memory Care alarm door secure and opens with entry code and courtyard alarm was operating properly. Food temperature were documented prior to food being served for each meal.Food was observed inside food cart covered with tray cover.

Based on observation, records reviewed, and interviews which were conducted, the preponderance of evidence standard has not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. Exit interview conducted. A copy of this report was provided to the Administrator.