Complaint Investigation Report

157208931-8-7-2025-24-AS-AWAN-DKHLWA-20250813090648

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

06/18/2025 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20250618134256

Facility staff do not provide planned recreational activities

On 08/07/25, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to deliver findings on the above allegation. LPA was greeted by Lead RBT, stated the purpose of the visit and was allowed entry. LPA met with Operations Manager to discuss the findings.

The Department has investigated the above allegation. LPA conducted interviews and records review showing Resident R1 had one outing since the time of their admission on 05/21/25. Outing / activity was a car ride on 06/18/25 to get a slushie at Sonic Burger. No other outings were observed prior to 06/18/25.

Based on the information received, the preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 6, a deficiency is being cited on the attached 9099-D.

An exit interview was conducted with Administrator. A copy of this report and appeal rights were discussed and provided to Lead staff. A plan of correction was developed and implemented by Administrator prior to LPAs arrival. Interview with R1 states they are attending community outings on a regular basis. POC cleared.