Complaint Investigation Report

157203990-5-9-2026-24-AS-SMOA-DU8LN4-20260519085342

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

02/11/2026 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20260211162119

Staff encourage residents not to contact their responsible party

On 5/09/2026, Licensing Program Analyst (LPA) M. Medina conducted a subsequent unannounced complaint visit to deliver findings. LPA introduced self, stated purpose of visit, and allowed entrance. Licensee contacted by telephone and was unavailable to for today's visit, LPA met with staff to deliver findings of complaint.

This department investigated the above allegations during the investigation, LPA toured facility and conducted interviews. This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED.

No deficiencies issued during this complaint visit..

Exit interview conducted. A copy of this report was provided to Administrator for facility records