Complaint Investigation Report

157208773-9-26-2022-24-AS-MHON-CJNNC4-20220927102006

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

07/12/2022 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20220712140025

On 09/21/22, Licensing Program Analysts (LPAs) L. Salazar and V. Gorban arrived at the facility unannounced to deliver findings on the above allegation. LPAs were greeted by Administrator, stated purpose of the visit and were allowed entry into the facility.

During the investigation, LPA Salazar conducted interviews with staff, residents and Administrator. Interviews reveal there was no other witness to the allegation that staff handled the Resident R1 in a rough manner. R1 has sinced passed and was not available for interview.

Although the allegation may have happened, there is not a preponderance of evidence to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED Exit interview conducted and copy of report was left with Administrator. No deficiencies cited on todays inspection.