Complaint Investigation Report
157206711-11-3-2023-24-AS-SMOA-CXM2UH-20231115164222
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
10/09/2023 and conducted by Evaluator Mai Yang
COMPLAINT CONTROL NUMBER: 24-AS-20231009154102
Facility staff did not complete required training.
On 11/01/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and met with caregiver Althea Warren. Licensee Amy Dhillon was called and arrived shortly. LPA delivered finding to Licensee.
During the course of the investigation, interview were conducted, and records were reviewed. All staff have trainings completed. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted. A copy of this report was provided to Licensee, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction