Complaint Investigation Report

157208940-9-13-2021-24-AS-MHON-C6XMJ2-20210917093826

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

06/09/2021 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20210609152018

Staff did not prevent an altercation between residents in care.

On 07/22/2021, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to deliver findings on the above allegation.

During the course of the investigation, LPA conducted interviews with staff and reporting party. The Department investigated the above allegation. Based on interviews and records review, the preponderance of evidence standard has been met, therefore the allegation above is found to be SUBSTANTIATED.

Deficiency is being cited in accordance to California Code of Regulations, Title 22, Division 6, see LIC 9099D. Exit interview conducted and appeal rights given.