Complaint Investigation Report

157206741-6-3-2025-24-AS-SMOA-DHSMBE-20250619092746

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

04/15/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250415161650

Licensee Amy Dhillon via telephone and caregiver Felyn Reyes

Resident sustained an injury while in care

Staff did not address residents care needs in a timely manner

On 06/03/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose of the visit, and met with caregiver Felyn Reyes. Licensee Amy Dhillion was called and unable to attend meeting. Findings was discuss with Licensee via telephone. Licensee authorized caregiver to receive and sign report.

During the course of the investigation, the Department conducted interviews, records were reviewed and toured the facility. R1 had gone outside in the front yard. Staff was present with the resident when the resident refused to go inside the facility and slid the resident self onto the ground.

Based on interviews conducted, allegation alleging resident sustained an injury while in care and staff did not address the resident’s needs in a timely manner, the preponderance of evidence standard has been met, therefore the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided to the caregiver, whose signature confirms received of this report.