Complaint Investigation Report

157209363-10-6-2025-24-AS-SMOA-DMGLGP-20251015084504

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

10/01/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20251001095140

Staff did not allow a resident to use the bathroom.

On 10/06/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation on the above allegation. LPA introduced self, stated the purpose of the visit, and met

with Licensee/ Administrator Leticia Jackson. LPA discussed complaint findings with Licensee.

During the course of the investigation, the department conducted interviews, toured the facility, and reviewed

records. Based on interviews conducted, there is insufficient evidences to prove or disapprove that staff did not allow resident to use the bathroom. Therefore, the preponderance of evidence standard

has been met, therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview

was conducted. A copy of this report was provided to Licensee, whose signature on this