Complaint Investigation Report

157203990-2-14-2026-24-AS-SPIY-DSKLJZ-20260327084847

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

01/21/2026 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20260121084230

Licensee does not ensure that the facility is kept in good repair.

On 2/14/2026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA arrived, stated purpose of visit, and allowed entrance to facility by Direct Care staff. Licensee, Tori Morgan contacted by telephone and was not available to conduct today's visit.

During the investigation, LPA conducted interviews, gathered information and toured facility. During LPA's facility visit on 1/22/2026, LPA observed that R1's bed did not have adequate support for the mattress and the drawers in the dresser were observed to be broken and did not open properly. Tthe 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 8, a deficiency is being cited on the attached 9099-D.

Exit interview conducted with staff, and a copy of report and appeal rights will be provided via e-mail to Licensee.