Complaint Investigation Report

157208773-7-23-2025-24-AS-AWAN-DK8RHW-20250804130259

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

05/28/2025 and conducted by Evaluator Shawna Doucette

COMPLAINT CONTROL NUMBER: 24-AS-20250528154409

Staff did not provide a safe environment for a resident in care.

Licensing Program Analysts (LPA) Shawna Doucette arrived at the facility unannounced to commence a complaint investigation. LPA was granted entry into the facility by Staff Amilyn Aguil. LPA met with Administrator Ramona Eleco and explained the purpose of the visit.

LPA interviewed resident and staff. LPA reviewed records.

Based on interviews, the allegation Staff did not provide a safe environment for a resident in care is undetermined if it is valid. Interviews with staff and resident are conflicting.

Based on records review and interviews, it is undetermined whether or not the allegations occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of this report was provided to Administrator.