Complaint Investigation Report

157200963-2-2-2026-24-AS-SMOA-DQYRTU-20260204121852

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

01/29/2026 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20260129083637

Licensee is not ensuring facility is maintained in good repair

On this date 02/02/26, Licensing Program Analyst (LPA) M. Yang conducted initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with Administrator Ana Leheny. LPA discussed complaint and delivered complaint findings to Administrator.

During the course of the investigation, the department conducted interviews, records were reviewed, and the facility was toured. The emergency stairway in the back steps is in disrepaired. Based on observation, the preponderance of evidence has been met. Therefore, the above allegation is found to be SUBSTANTIATED. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.