Complaint Investigation Report

157203395-9-25-2025-24-AS-SPIY-DLYUJU-20250929153807

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

07/25/2025 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20250725083246

Staff did not provide resident records to resident's authorized representative

On 9/25/2025, Licensing Program Analyst (LPA) M. Medina conducted an unannounced subsequent complaint visit to conduct additional interview and deliver findings. LPA introduced self and stated purpose of visit. LPA met with Executive Director/Administrator, Jeffrey Toomer to conduct complaint visit.

During the subsequent visit, LPA conducted additional interview and gathered additional information. During the the investigation, facility was toured, records reviewed, and interviews conducted. This department had insufficient information regarding the allegation listed above. Although the allegation may have happened or is 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 Administrator for facility records