Complaint Investigation Report

157203395-4-24-2026-24-AS-SMOA-DTTN7C-20260506101231

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

12/04/2025 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20251204164152

Silvia Martinez, Resident Services Director

Facility staff did not provide adequate supervision, which resulted in a resident falling while in care

Facility staff inappropriately handled a resident in care, which resulted in the resident sustaining an injury

Facility staff did not provide medical attention to resident in a timely manner

Facility staff did not administer resident medication as prescribed

Facility staff did not notify authorized representative of multiple falls

Facility staff did not meet resident needs

Facility staff did not safeguard resident's property

On 4/24/26, Licensing Program Analyst (LPA) M. Medina conducted an unannounced initial 10-day complaint visit. LPA stated purpose and allowed entrance into facility. LPA met with Executive Director, Jeff Toomer and Resident Services Director, Silvia Martinez.

This department has investigated the above allegations. During the course of the investigation, LPA toured the facility, conducted interviews, and reviewed documentation. The department has insufficient information regarding the above allegations. 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 allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy provided for facility records.