Complaint Investigation Report

157204045-5-6-2022-24-AS-MHON-CF5LE8-20220606084103

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

01/10/2022 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20220110135143

On 05/06/2022 Licensing Program Analyst (LPA) L. Salazar and A. Walton arrived at the facility unannounced to deliver findings on the above allegations.

LPA requested staff files when the complaint was opened. L1 was unable to provide did complete staff and resident files for LPA to review.

Based on the: LPA’s observation the preponderance of evidence standard has been met; therefore, the above allegations are found to be substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.

An exit interview was conducted with Licensee Marguerite Bruton. A copy of this report and appeal rights were discussed and provided to Licensee. A plan of correction was developed by licensee and reviewed with LPA.