Complaint Investigation Report

100400043-11-26-2025-24-AS-SMOA-DP6LMD-20251208075234

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

11/24/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20251124093651

Nursing home Administrator Jasdeep Dhariwal

Untrained staff providing care to residents

On this date, Licensing Program Analyst (LPA) M. Yang conducted initial complaint investigation. LPA introduce self, stated the purpose of the visit, and requested to meet with Administrator. LPA met with Nursing Home Administrator Jasdeep Dhariwal who stated Administrator Benjamin Carter is unavailable to attend meeting. LPA discussed complaint and delivered complaint findings to Nursing Home Administrator.

During the course of the investigation, the facility was toured, records were reviewed, and interviews were conducted. All staff files providing care and supervision for residents, were reviewed and was observed to have no training records in the file. Nursing Home Administrator confirmed staff have no training records on file. Based on interviews conducted and records reviewed, the preponderance of evidences has been met. Therefore, the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights were provided to Nursing Home Administrator whose signature on this form confirms receipt of this report.