Complaint Investigation Report

157208767-6-4-2026-24-AS-SMOA-DV4MAJ-20260616092623

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

05/13/2026 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20260513125529

Staff did not safeguard residents personal belongings

On 06/04/2026, Licensing Program Analysts (LPAs) M. Medina and J. Duarre conducted a subsequent unannounced complaint visit to deliver findings. LPAs introduced self, stated purpose of visit, and allowed entrance by direct care staff. Lilibeth Estomata, Licensee contacted by telephone and was unavailable to conduct today's complaint visit. LPAs delivered findings via telephone to licensee and the report was signed by staff on shift. .

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

No deficiencies issued during this complaint visit..

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