Complaint Investigation Report

157208940-11-7-2021-24-AS-MHON-C9HP8J-20211208100534

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

10/28/2021 and conducted by Evaluator Lisa Salazar

COMPLAINT CONTROL NUMBER: 24-AS-20211028110923

On 11/05/21, Licensing Program Analyst (LPA) L. Salazar arrived to the facility unannounced to conduct the required 10 day site inspection. LPA was greeted by Executive Director, stated purpose of visit and was allowed entry into the facility. COVID precautionary measures were taken at the time of LPA's entry.

During the course of the investigation, LPA toured the facility inside and out. During the tour, LPA observed all staff members wearing masks. Residents were observed social distancing in the dining area.

Based on LPA's observation, there was not an evidence to support this allegation that occurred the year prior. 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 allegations are UNSUBSTANTIATED.

Exit Interview conducted. No deficiency issued on today's vist.