Complaint Investigation Report

107206629-12-11-2024-24-AS-SMOA-DC8LNG-20241223075418

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

12/03/2024 and conducted by Evaluator Kamaldeep Kaur

COMPLAINT CONTROL NUMBER: 24-AS-20241203151721

Christina Gomez (Assistant Executive Director) and Executive Director; Maria Ceballos

Licensing Program Analyst (LPA) K. Kaur arrived at the facility unannounced to conduct an initial 10-day complaint inspection. LPA met with Christina Gomez, AED (Assistant Executive Director) and explained the purpose of the visit and reviewed the elements of the allegations. Executive Director; Maria Ceballos; arrived a short while later. LPA delivered the following complaint investigation findings.

The Department investigated the allegations listed above. Based on observations, interviews and record review there is no uncleared adult working at facility. Therefor the Department has found that the complaint is UNFOUNDED meaning that the allegations were false, could not have happened, and/or without a reasonable basis.

No deficiencies issued. Exit interview conducted. A copy of this report was discussed and provided to Executive Director, whose signature on the form confirms receipt of this document.