Complaint Investigation Report

157208940-7-30-2025-24-AS-SMOA-DK3UQB-20250730154651

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

06/04/2025 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20250604113213

Administrator Mike Chapman and Director Resident Services Mandy House

Staff neglect resulted in a resident sustaining fractures from consuming incorrect medication

Staff did not seek timely medical attention for a resident

On 07/22/25, Licensing Program Analyst (LPA) Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose visit, and met with Administrator Mike Chapman and Director Resident Services Mandy House.

Based on interviews conducted and records reviewed, the Department was unable to locate information as to which resident at the facility these allegations are concerning. No additional information was provided to the department - Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies were issued.